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Texas 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 $617 · 10th–90th $69$2,5700%5%10%10th90th$617Professionalmedian $68 · 10th–90th $52$1700%10%20%10th90th$68$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
$691.83 / $1,479.11 / $2,818.38
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$549.54 / $977.24 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$66.07 / $131.83 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$67.61 / $81.28 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $954.99 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $75.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $123.03 / $912.01
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $229.09
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,202.26 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $147.91
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $446.68 / $446.68
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $501.19 / $501.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$407.38 / $831.76 / $2,630.27
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$63.10 / $131.83 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $38.90
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $128.82 / $165.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $194.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $83.18 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $794.33 / $2,754.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $141.25
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$83.18 / $89.13 / $109.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $72.44 / $85.11