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Massachusetts 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 $204 · 10th–90th $95$1,0720%5%10%10th90th$204Professionalmedian $195 · 10th–90th $126$6610%10%10th90th$195$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
$933.25 / $933.25 / $977.24
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$831.76 / $831.76 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $562.34
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$154.88 / $331.13 / $794.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $489.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $281.84
Fallon Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$190.55 / $190.55 / $199.53
Fallon Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $190.55 / $213.80
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $616.60 / $1,071.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $134.90 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,949.84 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $275.42 / $478.63
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $85.11 / $89.13