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Illinois rates for HCPCS 99284

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

Facilitymedian $955 · 10th–90th $468$1,3490%20%10th90th$955Professionalmedian $162 · 10th–90th $93$7590%5%10%10th90th$162$10.0$50.0$200.0$1.0K

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
$354.81 / $954.99 / $1,348.96
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$676.08 / $954.99 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $724.44
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$97.72 / $263.03 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$100.00 / $128.82 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $512.86 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $165.96 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $275.42 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $416.87
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $89.13 / $199.53