go back

Michigan 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 $1,072 · 10th–90th $603$2,1380%10%10th90th$1,072Professionalmedian $186 · 10th–90th $129$6610%10%10th90th$186$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
$190.55 / $1,000.00 / $1,905.46
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$660.69 / $1,148.15 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $562.34
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$165.96 / $389.05 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$144.54 / $181.97 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $204.17 / $707.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $724.44 / $1,737.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$660.69 / $1,122.02 / $2,570.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $380.19 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $549.54
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $89.13 / $245.47