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Kansas rates for HCPCS 99215

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.

Facilitymedian $141 · 10th–90th $66–$2510%5%10%10th90th$141Professionalmedian $151 · 10th–90th $93–$3090%10%10th90th$151$10.0$50.0$200.0$1.0K

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
$64.57 / $138.04 / $251.19
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$66.07 / $97.72 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $144.54 / $288.40
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $169.82 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$138.04 / $181.97 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $165.96 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $165.96 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $162.18 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $194.98 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$194.98 / $208.93 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $144.54 / $218.78
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $89.13 / $95.50