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Home Visit for Impacted Stool and Enema

Arizona rates for HCPCS 99511

A visit to the patient's home to relieve stool that has become packed and stuck in the rectum, together with giving an enema. The clinician may need to break up and remove the hardened stool by hand before the enema is given, and will advise on how to stop it happening again.

Rates data updated July 2026.

How much does Home Visit for Impacted Stool and Enema cost?

$25.12

Typical physician fee. In Arizona, July 2026.

Insurers have agreed to pay about $25.12 for this service. Most negotiated rates run $25.12 to $25.12.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $107Professionalmedian $25 · 10th to 90th $25 to $83
$20.0$50.0$100.0$200.0facility $25professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$27.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where Arizona sits

The same service costs 3.2 times more in Montana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $25.12 · 21st of 50
MT $79.43MD $25.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.