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Idaho 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 $151 · 10th–90th $26–$3020%10%20%10th90th$151Professionalmedian $36 · 10th–90th $10–$720%10%10th90th$36$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
$95.50 / $263.03 / $316.23
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$169.82 / $257.04 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $36.31 / $72.44
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $107.15 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $26.30 / $42.66
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $35.48 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$151.36 / $257.04 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $44.67
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11