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North Dakota 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 $65 · 10th–90th $56–$780%20%10th90th$65Professionalmedian $123 · 10th–90th $56–$1950%10%10th90th$123$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
$56.23 / $63.10 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $74.13 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $138.04 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $186.21