go back

Missouri 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 $955 · 10th–90th $447$2,5700%10%10th90th$955Professionalmedian $186 · 10th–90th $126$5890%10%10th90th$186$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
$398.11 / $1,000.00 / $2,137.96
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$549.54 / $954.99 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $478.63
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$162.18 / $323.59 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$147.91 / $177.83 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $389.05
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$199.53 / $524.81 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$199.53 / $251.19 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,311.31 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $323.59
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $89.13 / $245.47