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Maryland 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 $1,660 · 10th–90th $977–$7,5860%20%40%10th90th$1,660Professionalmedian $174 · 10th–90th $126–$4270%10%10th90th$174$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
$977.24 / $1,548.82 / $2,818.38
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$1,584.89 / $1,659.59 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$151.36 / $323.59 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $331.13
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $89.13 / $371.54