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Texas 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 $851 · 10th–90th $182$6,0260%10%10th90th$851Professionalmedian $170 · 10th–90th $132$4570%20%10th90th$170$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
$602.56 / $3,162.28 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$851.14 / $3,162.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $398.11
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$162.18 / $354.81 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$165.96 / $275.42 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $2,511.89 / $7,244.36
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $741.31
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,318.26 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $389.05
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $1,096.48 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$707.95 / $1,778.28 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$162.18 / $354.81 / $851.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,698.24 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $181.97 / $354.81
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $245.47