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Utah 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 $617 · 10th–90th $91–$8130%20%10th90th$617Professionalmedian $23 · 10th–90th $8–$660%5%10%10th90th$23$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
$91.20 / $630.96 / $5,128.61
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$91.20 / $616.60 / $707.95
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
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $52.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.22 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $22.39 / $69.18
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11