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South 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 $245 · 10th–90th $20–$4900%10%20%10th90th$245Professionalmedian $28 · 10th–90th $9–$1150%5%10th90th$28$10.0$20.0$50.0$100.0$200.0$500.0

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
$77.62 / $467.74 / $501.19
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$239.88 / $416.87 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $28.18 / $75.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $37.15 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $36.31
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
$10.72 / $30.20 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $37.15
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $85.11