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Pennsylvania 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 $741 · 10th–90th $288$1,4790%10%10th90th$741Professionalmedian $74 · 10th–90th $52$1660%10%10th90th$74$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
$144.54 / $724.44 / $1,258.93
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$380.19 / $831.76 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $158.49
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $109.65 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $70.79 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $89.13 / $239.88
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
$63.10 / $74.13 / $229.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $81.28 / $177.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $125.89 / $204.17
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $138.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$691.83 / $758.58 / $1,348.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $131.83
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$74.13 / $93.33 / $128.82
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
$74.13 / $79.43 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $870.96
Martin's Point
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$741.31 / $831.76 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $134.90
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $165.96
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $158.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,479.11 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $77.62 / $154.88
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $85.11 / $89.13