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South Dakota 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 $912 · 10th–90th $398–$2,2390%10%10th90th$912Professionalmedian $224 · 10th–90th $138–$8510%10%20%10th90th$224$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
$446.68 / $870.96 / $1,949.84
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$398.11 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $223.87 / $870.96
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$158.49 / $281.84 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $380.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $323.59
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$302.00 / $302.00 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $346.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $288.40 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $288.40 / $389.05