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Nationwide rates for HCPCS 99232

Subsequent 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 moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.

Facilitymedian $83 · 10th–90th $58$2040%20%40%10th90th$83Professionalmedian $81 · 10th–90th $58$1860%50%10th90th$81$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$54.95 / $75.86 / $128.82
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$83.18 / $616.60 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $165.96 / $575.44
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $85.11 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $87.10 / $173.78