go back

North Carolina 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 $372–$3,5480%5%10%10th90th$1,660Professionalmedian $182 · 10th–90th $132–$6030%10%10th90th$182$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
$512.86 / $1,819.70 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$588.84 / $1,659.59 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $512.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$158.49 / $371.54 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$162.18 / $302.00 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $234.42 / $436.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,365.16 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $346.74
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $245.47
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48