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Maryland 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 $195 · 10th–90th $170–$7,5860%20%40%10th90th$195Professionalmedian $22 · 10th–90th $8–$660%5%10th90th$22$10.0$50.0$200.0$1.0K$5.0K

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
$194.98 / $208.93 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$169.82 / $181.97 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $21.38 / $66.07
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $33.11 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $19.95 / $41.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $42.66
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11