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Delaware 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 $263 · 10th–90th $263–$2820%20%40%90th$263Professionalmedian $26 · 10th–90th $9–$780%5%10%10th90th$26$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
25
Typical Low / Median / Typical High
$263.03 / $263.03 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $25.70 / $77.62
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $93.33 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $48.98
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11