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Georgia 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 $575 · 10th–90th $17–$8910%10%10th90th$575Professionalmedian $26 · 10th–90th $9–$660%5%10th90th$26$2.0$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
$524.81 / $707.95 / $891.25
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$575.44 / $851.14 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $26.30 / $66.07
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $40.74 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $37.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.60 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.12 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $75.86
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $39.81
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11