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Nationwide rates for HCPCS 99443

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; 21-30 minutes of medical discussion

Facilitymedian $76 · 10th–90th $34$2880%10%10th90th$76Professionalmedian $89 · 10th–90th $38$2950%10%10th90th$89$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $281.84 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $34.67 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $69.18 / $245.47