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Washington 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 $355 · 10th–90th $21–$7590%5%10th90th$355Professionalmedian $28 · 10th–90th $8–$720%5%10th90th$28$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
$251.19 / $446.68 / $758.58
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$389.05 / $741.31 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $26.92 / $72.44
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $70.79 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.84 / $58.88
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $204.17
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $66.07
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $85.11 / $85.11