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Nationwide rates for HCPCS 99291

Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

Facilitymedian $891 · 10th–90th $219–$4,6770%10%10th90th$891Professionalmedian $282 · 10th–90th $178–$8320%20%10th90th$282$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$213.80 / $776.25 / $4,365.16
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$776.25 / $2,630.27 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $794.33
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $363.08 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $2,454.71 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,096.48 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $691.83
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $229.09 / $398.11

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