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New York 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 $851 · 10th–90th $191–$2,3990%10%10th90th$851Professionalmedian $26 · 10th–90th $10–$720%5%10th90th$26$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
$95.50 / $660.69 / $2,187.76
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$354.81 / $954.99 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $29.51 / $74.13
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $39.81 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $48.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $30.20 / $72.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $912.01 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.89 / $102.33
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11