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Washington, DC rates for HCPCS 99359

Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)

Facilitymedian $41 · 10th–90th $41–$410%50%100%$41Professionalmedian $47 · 10th–90th $35–$1070%10%10th90th$47$50.0$100.0

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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $107.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $93.33