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Arizona 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 $832 · 10th–90th $16–$1,5490%10%10th90th$832Professionalmedian $28 · 10th–90th $8–$710%5%10th90th$28$10.0$50.0$200.0$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
$602.56 / $831.76 / $1,000.00
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$512.86 / $1,318.26 / $2,398.83
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
$29.51 / $43.65 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.39 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $21.38 / $43.65
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11