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Washington, DC 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 $1,905 · 10th–90th $324–$4,6770%20%10th90th$1,905Professionalmedian $204 · 10th–90th $129–$5620%10%10th90th$204$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$288.40 / $870.96 / $2,041.74
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $426.58
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$151.36 / $346.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,311.31 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $537.03
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13