Tynbil: Know the *real* price for healthcare services

Nationwide rates for HCPCS 99223

Initial hospital inpatient or observation care, per day, for the evaluation and management of a 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, 75 minutes must be met or exceeded.

Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $176.76 / $242.65	Facility		$148.72	$176.76	$242.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $256.80 / $270.81 / $874.80	Facility	25	$256.80	$270.81	$874.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $187.93 / $401.27	Professional		$140.88	$187.93	$401.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $231.02 / $608.41	Facility		$205.76	$231.02	$608.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $214.39 / $326.83	Professional		$152.33	$214.39	$326.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $248.07 / $394.47	Professional		$164.85	$248.07	$394.47
United Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $218.83 / $376.01	Professional		$167.49	$218.83	$376.01

Nationwide rates for HCPCS 99223

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