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Ohio 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 $2,138 · 10th–90th $275$4,1690%10%10th90th$2,138Professionalmedian $186 · 10th–90th $126$6170%10%10th90th$186$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
$912.01 / $3,019.95 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$1,000.00 / $2,041.74 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $524.81
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$158.49 / $338.84 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$141.25 / $169.82 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $190.55 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $389.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,096.48 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,235.94 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $389.05
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $89.13 / $389.05