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Minnesota 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 $209 · 10th–90th $98–$5500%5%10th90th$209Professionalmedian $214 · 10th–90th $107–$4570%5%10th90th$214$10.0$20.0$50.0$100.0$200.0$500.0$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
$69.18 / $165.96 / $467.74
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$158.49 / $316.23 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $173.78 / $426.58
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$104.71 / $199.53 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $263.03 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $501.19
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$177.83 / $309.03 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $354.81 / $630.96
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $645.65 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $177.83 / $398.11
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $426.58 / $562.34
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$316.23 / $426.58 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $251.19 / $446.68
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $194.98 / $407.38