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Physician Direction Of Ambulance Emergency Care

Missouri rates for HCPCS 99288

A physician directs an ambulance crew as they provide advanced emergency care to a patient. The direction is given remotely, so there is no face-to-face visit with the patient. The charge is for the physician's guidance of the crew.

Rates data updated July 2026.

How much does Physician Direction Of Ambulance Emergency Care cost?

$51.29

Typical physician fee. In Missouri, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $48.98 to $110.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54 · 10th to 90th $49 to $117Professionalmedian $51 · 10th to 90th $49 to $129
$50$100$200facility $54professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$79.43

Where Missouri sits

The same service costs 5.8 times more in Maine than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 13th of 51

$51.29

ME $269KS $46.77

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.