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Washington rates for HCPCS 99442

Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion

Facilitymedian $35 · 10th–90th $22–$1580%10%10th90th$35Professionalmedian $37 · 10th–90th $22–$1550%5%10%10th90th$37$20.0$50.0$100.0$200.0$500.0

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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $389.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $141.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $70.79 / $85.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $147.91 / $181.97
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.98 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $67.61 / $131.83