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Pennsylvania rates for HCPCS 99282

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making

Facilitymedian $479 · 10th–90th $200$9330%10%10th90th$479Professionalmedian $56 · 10th–90th $32$1020%5%10%10th90th$56$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
$138.04 / $407.38 / $954.99
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$354.81 / $602.56 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $100.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$50.12 / $75.86 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $162.18
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,659.59
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $239.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $478.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $91.20
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $74.13 / $120.23
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $83.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $446.68 / $758.58
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$398.11 / $436.52 / $794.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $69.18
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $1,659.59
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $245.47
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $407.38
Martin's Point
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $53.70 / $95.50
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $109.65
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $70.79 / $91.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $46.77 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $776.25 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $95.50
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$67.61 / $85.11 / $87.10