go back

North Dakota rates for HCPCS 99243

Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $105 · 10th–90th $81–$1820%20%10th90th$105Professionalmedian $107 · 10th–90th $72–$1910%10%10th90th$107$10.0$20.0$50.0$100.0$200.0$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
$81.28 / $95.50 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $177.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $218.78 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $281.84