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Nebraska 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 $251 · 10th–90th $141–$4570%5%10%10th90th$251Professionalmedian $166 · 10th–90th $95–$3470%5%10%10th90th$166$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
$190.55 / $275.42 / $512.86
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$309.03 / $371.54 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $154.88 / $338.84
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$114.82 / $177.83 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $245.47 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$144.54 / $263.03 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $239.88 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $426.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $302.00
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$295.12 / $338.84 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $912.01
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$245.47 / $323.59 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $407.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $181.97 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $177.83 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $338.84
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $218.78 / $309.03