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North Carolina 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 $166 · 10th–90th $62–$3390%5%10%10th90th$166Professionalmedian $34 · 10th–90th $9–$690%5%10th90th$34$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
$81.28 / $169.82 / $331.13
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$123.03 / $194.98 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $34.67 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $42.66 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $24.55 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $48.98 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.91 / $46.77
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83