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Brief Office Visit (Minimal, Established Patient)

Colorado rates for HCPCS 99211

A very short, simple office visit that may not require an in-depth evaluation by the physician, often handled by a nurse or other clinical staff member under the doctor's supervision. It's typically used for quick tasks like a blood pressure check, a simple medication follow-up, or a brief wound check. It's the most minimal visit level for a patient the practice already knows.

Rates data updated July 2026.

How much does Brief Office Visit (Minimal, Established Patient) cost?

$18.20

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $22.91 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.20$9.55 to $23.44
FacilityA hospital or hospital-owned outpatient department$22.91$11.48 to $36.31

How much rates vary

Facilitymedian $23 · 10th to 90th $8 to $85Professionalmedian $18 · 10th to 90th $7 to $33
$10$20$50$100facility $23professional $18

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
Facility
Modifier
Global
Typical Low
$7.76
Median
$48.98
Typical High
$117.49
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$18.20
Typical High
$29.51
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$25.70
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.95
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$147.91
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$21.88
Typical High
$38.90
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$21.38
Typical High
$36.31
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$34.67
Typical High
$69.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$151.36
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$22.39
Typical High
$48.98
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$28.84
Typical High
$85.11

Where Colorado sits

Rates are fairly even across states for this service. 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.

Colorado· 45th of 51

$18.20

CA $24.55AL $17.38

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.