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Michigan 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 $148 · 10th–90th $85–$2190%10%10th90th$148Professionalmedian $22 · 10th–90th $8–$690%5%10th90th$22$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
$85.11 / $141.25 / $204.17
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$85.11 / $169.82 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $20.89 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $36.31 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.98 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $45.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $117.49 / $204.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$85.11 / $169.82 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $66.07
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11