go back

Oregon 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 $229$5,8880%5%10%10th90th$955Professionalmedian $204 · 10th–90th $138$6030%10%10th90th$204$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
$323.59 / $2,344.23 / $5,754.40
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$891.25 / $2,238.72 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $478.63
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $380.19 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $489.78
HealthNet
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$870.96 / $2,238.72 / $6,456.54
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $380.19 / $660.69
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $346.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $562.34
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13