Visit Complexity Add-On for Continuing or Ongoing Care
Tennessee rates for HCPCS G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)
Rates data updated October 2026.
How much does Visit Complexity Add-On for Continuing or Ongoing Care cost?
$18.20
Typical physician fee. In Tennessee, October 2026.
Insurers have agreed to pay about $18.20 for this service. Most negotiated rates run $14.13 to $93.33.
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 5 insurance carriers under federal price transparency rules.
How much rates vary
Professionalmedian $18 · 10th to 90th $14 to $145
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$17.78
Typical High
$29.51
Professional
None
$14.45
$17.78
$29.51
Ambetter
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.60
Typical High
$22.39
Professional
None
$13.80
$16.60
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Professional
None
$13.80
$13.80
$13.80
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$144.54
Professional
None
$93.33
$93.33
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$17.38
Typical High
$29.51
Professional
None
$14.79
$17.38
$29.51
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Ambetter
Setting
Professional
Modifier
93 · Audio-only telehealth
Typical Low
$13.80
Median
$13.80
Typical High
$20.89
Professional
93 · Audio-only telehealth
$13.80
$13.80
$20.89
Where Tennessee sits
The same service costs 5.1 times more in Alaska than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.