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Nationwide rates for HCPCS 99217

Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])

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	Facility/Professional	Typical Low	Median	Typical High
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $234.42 / $794.33	Facility	$141.25	$234.42	$794.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $257.04 / $602.56	Facility	$181.97	$257.04	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $288.40	Professional	$125.89	$173.78	$288.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $72.44 / $91.20	Facility	$56.23	$72.44	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $83.18 / $120.23	Professional	$58.88	$83.18	$120.23

Nationwide rates for HCPCS 99217

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