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California 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 $14–$1,0000%5%10th90th$224Professionalmedian $31 · 10th–90th $9–$740%5%10th90th$31$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
$181.97 / $616.60 / $933.25
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$257.04 / $446.68 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $75.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $48.98 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $54.95
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $53.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.13 / $93.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $25.12 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $22.39 / $54.95
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11