go back

Tennessee rates for HCPCS 99242

Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $153.21 / $153.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $86.15 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $69.34 / $69.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.15 / $84.12 / $133.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.98 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $97.57 / $142.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.77 / $272.83 / $272.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.94 / $542.94 / $554.37
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $94.80 / $113.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.19 / $95.03 / $160.72