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Kentucky 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 $79 · 10th–90th $12–$1910%10%10th90th$79Professionalmedian $19 · 10th–90th $7–$660%5%10th90th$19$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
$47.86 / $79.43 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.05 / $66.07
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $21.88 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $575.44 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $13.18 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $27.54 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $41.69
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11