go back

New Jersey rates for HCPCS 99291

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

Facilitymedian $813 · 10th–90th $191$4,0740%5%10th90th$813Professionalmedian $269 · 10th–90th $178$6610%10%10th90th$269$50.0$200.0$1.0K$5.0K$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
$186.21 / $933.25 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$208.93 / $812.83 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $251.19 / $616.60
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $354.81 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $218.78 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $204.17 / $245.47
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,659.59 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $676.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,570.40 / $4,265.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $275.42 / $588.84
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$64.57 / $288.40 / $467.74