go back

Missouri 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 $339 · 10th–90th $26–$7410%10%20%10th90th$339Professionalmedian $25 · 10th–90th $8–$680%5%10th90th$25$10.0$20.0$50.0$100.0$200.0$500.0$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
$181.97 / $338.84 / $741.31
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$199.53 / $338.84 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $24.55 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $32.36 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $24.55 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $17.38 / $57.54
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $537.03 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $43.65
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11