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Oregon 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 $224 · 10th–90th $120–$3890%10%10th90th$224Professionalmedian $195 · 10th–90th $98–$4900%10%10th90th$195$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
$138.04 / $229.09 / $575.44
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$104.71 / $338.84 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $478.63
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$112.20 / $223.87 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $251.19 / $426.58
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $407.38 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $181.97 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$104.71 / $281.84 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$112.20 / $223.87 / $501.19
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $281.84 / $354.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $302.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $295.12 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $467.74
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
$114.82 / $229.09 / $346.74
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $173.78 / $323.59