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Massachusetts rates for HCPCS 99283

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

Facilitymedian $87 · 10th–90th $40$5750%5%10%10th90th$87Professionalmedian $79 · 10th–90th $55$2340%10%10th90th$79$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$467.74 / $549.54 / $645.65
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$549.54 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $208.93
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$63.10 / $131.83 / $331.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $186.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $63.10 / $112.20
Fallon Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$75.86 / $75.86 / $81.28
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $112.20
Fallon Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $75.86 / $87.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $138.04 / $199.53
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $269.15 / $489.78
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $524.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $501.19
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $53.70 / $489.78
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $70.79 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $89.13 / $91.20