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New York 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 $1,380 · 10th–90th $302$4,6770%5%10%10th90th$1,380Professionalmedian $78 · 10th–90th $52$2400%10%10th90th$78$20.0$100.0$500.0$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
$83.18 / $1,318.26 / $4,265.80
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$616.60 / $1,819.70 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $218.78
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$64.57 / $131.83 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$67.61 / $89.13 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $72.44 / $151.36
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $104.71 / $245.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $169.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $154.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $147.91
Fidelis
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$61.66 / $61.66 / $288.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $87.10 / $338.84
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $87.10 / $251.19
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $186.21
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $75.86 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,344.23 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $123.03 / $288.40
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$64.57 / $89.13 / $151.36
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $173.78