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New Jersey 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 $257 · 10th–90th $83–$6460%10%10th90th$257Professionalmedian $26 · 10th–90th $9–$690%10%10th90th$26$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$93.33 / $251.19 / $724.44
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$81.28 / $257.04 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $26.30 / $67.61
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $58.88 / $72.44
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $26.92 / $60.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $7,244.36 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $48.98
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11