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Nevada rates for HCPCS 99214

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $263 · 10th–90th $166–$7240%10%20%10th90th$263Professionalmedian $129 · 10th–90th $69–$3470%5%10th90th$129$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $295.12 / $478.63
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$263.03 / $263.03 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $125.89 / $323.59
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $138.04 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$102.33 / $131.83 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $114.82 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $190.55
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $109.65 / $181.97
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $125.89 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $123.03 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $114.82 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $190.55
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $144.54 / $234.42