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New York rates for HCPCS 99291

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

Facilitymedian $1,349 · 10th–90th $209$2,6920%10%10th90th$1,349Professionalmedian $309 · 10th–90th $182$8320%10%10th90th$309$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
$177.83 / $501.19 / $2,290.87
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$891.25 / $2,041.74 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $269.15 / $812.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $354.81 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $204.17 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $204.17 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,454.71 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $549.54
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,995.26 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $724.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $691.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $575.44
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Fidelis
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$245.47 / $245.47 / $251.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,290.87 / $2,344.23
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,290.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $354.81 / $549.54
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$295.12 / $346.74 / $660.69
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $389.05 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $2,290.87 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $977.24
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $295.12 / $436.52
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $549.54