go back

Texas 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 $56 · 10th–90th $13–$5750%5%10th90th$56Professionalmedian $32 · 10th–90th $9–$690%5%10%10th90th$32$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
$251.19 / $524.81 / $831.76
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$316.23 / $338.84 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $38.02 / $69.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $48.98 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $245.47 / $398.11
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $194.98
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $25.12 / $45.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $177.83 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $30.90 / $79.43
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$83.18 / $323.59 / $831.76
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $29.51 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $316.23 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $45.71
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11