go back

Virginia 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 $63 · 10th–90th $41–$1150%10%20%10th90th$63Professionalmedian $46 · 10th–90th $35–$790%20%10th90th$46$0.0$0.2$2.0$20.0$200.0$2.0K

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
$40.74 / $40.74 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $32.36 / $56.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $61.66 / $107.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $177.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $63.10 / $97.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $234.42
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $109.65