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Virginia 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 $178 · 10th–90th $20–$4680%10%10th90th$178Professionalmedian $23 · 10th–90th $8–$650%5%10th90th$23$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
$181.97 / $245.47 / $467.74
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$141.25 / $229.09 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $21.38 / $64.57
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.88 / $234.42 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.91 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $74.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $29.51 / $64.57
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $23.44 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.91 / $47.86
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11