go back

Ohio 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 $468 · 10th–90th $12–$5250%10%20%10th90th$468Professionalmedian $24 · 10th–90th $8–$660%5%10th90th$24$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
$309.03 / $467.74 / $616.60
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$467.74 / $467.74 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $22.91 / $66.07
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$10.96 / $39.81 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.59 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $21.38 / $42.66
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $204.17 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $66.07
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11