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Brief Office Visit (Minimal, Established Patient)

Georgia 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?

$19.05

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $18.62 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 8 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$19.05$13.49 to $25.70
FacilityA hospital or hospital-owned outpatient department$18.62$13.49 to $138

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $295Professionalmedian $19 · 10th to 90th $7 to $40
$5$10$20$50$100$200$500facility $19professional $19

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
$7.59
Median
$18.20
Typical High
$295.12
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$87.10
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$19.05
Typical High
$38.90
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$20.42
Median
$31.62
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$22.91
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$22.91
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$20.89
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$11.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$20.89
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$24.55
Typical High
$41.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$22.91
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$28.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$20.42
Typical High
$41.69
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$26.30
Median
$26.30
Typical High
$28.84

Where Georgia 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.

Georgia· 30th of 51

$19.05

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.