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Minnesota rates for HCPCS 99252

Inpatient or observation 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, 35 minutes must be met or exceeded.

Facilitymedian $129 · 10th–90th $62–$5890%20%10th90th$129Professionalmedian $129 · 10th–90th $62–$2190%5%10%10th90th$129$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$57.54 / $64.57 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $162.18 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $79.43 / $186.21
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $151.36 / $234.42