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Arizona rates for HCPCS 99285

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

Facilitymedian $1,514 · 10th–90th $178–$2,8840%10%10th90th$1,514Professionalmedian $186 · 10th–90th $123–$6920%10%10th90th$186$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
$338.84 / $2,290.87 / $3,019.95
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$691.83 / $1,698.24 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $616.60
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$162.18 / $398.11 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$141.25 / $234.42 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $204.17 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $181.97 / $354.81
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$501.19 / $851.14 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $177.83 / $354.81
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $89.13