PR E&M Preventive Medicine Periodic Comprehensive Established Pt 18-39 Yrs

Payers reporting CPT 99395

Payer pricing summary

Low

$49

Average

$2.5k

Median

$161

High

$46.9k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +27 other terms	103	$123	$158	$108	68%	93	$0 – $460
2	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	179	$254	$273	$151	56%	84–102	$0 – $712
3	Premera professional · fee schedule · outpatient · +9 other terms	15	$137	$139	$29	21%	84–156	$90 – $202
4	Ambetter fee schedule · both · +18 other terms	17	$119	$168	$43	25%	80	$85 – $372
5	UnitedHealthcare fee schedule · outpatient · +37 other terms	196	$116	$183	$135	74%	46–55	$1 – $687
6	Tricare professional · fee schedule · outpatient · +19 other terms	28	$97	$94	$15	16%	39–66	$66 – $123
7	Oscar professional · fee schedule · inpatient · +15 other terms	10	$132	$127	$18	14%	25	$86 – $158
8	Ucare professional · fee schedule · outpatient · +12 other terms	25	$124	$112	$32	28%	14–41	$20 – $211
9	Regence professional · fee schedule · outpatient · +13 other terms	23	$141	$189	$82	44%	11–110	$62 – $362
10	Humana fee schedule · outpatient · +26 other terms	234	$110	$183	$587	320%	2–20	$1 – $8.3k
11	Optum professional · fee schedule · outpatient · +16 other terms	23	$121	$92	$34	37%	2–20	$42 – $127
12	Excellus professional · fee schedule · both · +15 other terms	18	$107	$109	$50	46%	2–20	$20 – $307
13	First Health professional · fee schedule · both · +18 other terms	22	$95	$101	$66	66%	1–10	$0 – $340
14	Carefirst professional · fee schedule · inpatient · +12 other terms	16	$115	$113	$39	34%	1–10	$20 – $219
15	Bcbs Mo professional · other · both · +2 other terms	1	$158	$158	—	—	1–10	$158 – $158
16	Aetna fee schedule · outpatient · +33 other terms	151	$118	$322	$804	250%	—	$1 – $8.4k
17	Anthem fee schedule · outpatient · +26 other terms	65	$116	$117	$38	33%	—	$22 – $423
18	Molina fee schedule · outpatient · +27 other terms	46	$106	$110	$68	62%	—	$1 – $310
19	Kaiser fee schedule · outpatient · +20 other terms	37	$123	$157	$88	56%	—	$5 – $523
20	Caresource fee schedule · outpatient · +18 other terms	34	$71	$145	$45	31%	—	$1 – $189
21	MultiPlan fee schedule · outpatient · +19 other terms	26	$132	$174	$120	69%	—	$64 – $509
22	Highmark facility · fee schedule · outpatient · +17 other terms	25	$97	$166	$122	74%	—	$30 – $589
23	Medica fee schedule · both · +17 other terms	25	$182	$223	$117	52%	—	$64 – $369
24	Wellmark fee schedule · both · +21 other terms	25	$147	$149	$9	6%	—	$147 – $195
25	Aetna Better Health fee schedule · outpatient · +18 other terms	23	$80	$120	$88	73%	—	$67 – $395

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← Hospitals reporting CPT 99395 · Snapshot 20261111T120946Z-9134e7f7