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Nationwide rates for HCPCS 99281

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $224 · 10th–90th $28$6920%5%10%10th90th$224Professionalmedian $26 · 10th–90th $8$690%10%10th90th$26$0.5$5.0$50.0$500.0$5.0K

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
$85.11 / $251.19 / $707.95
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$125.89 / $309.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $25.70 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $40.74 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $707.95 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $346.74 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $24.55 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $512.86 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $23.44 / $57.54
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11