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Florida 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 $81–$3470%20%10th90th$263Professionalmedian $28 · 10th–90th $8–$660%5%10th90th$28$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
$70.79 / $125.89 / $346.74
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$194.98 / $302.00 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $27.54 / $67.61
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$12.88 / $39.81 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $251.19 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $24.55 / $48.98
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $21.88 / $48.98
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11