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Brief Office Visit (Minimal, Established Patient)

Iowa 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?

$22.39

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $32.36 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$22.39$15.14 to $33.88
FacilityA hospital or hospital-owned outpatient department$32.36$16.22 to $66.07

How much rates vary

Facilitymedian $32 · 10th to 90th $8 to $135Professionalmedian $22 · 10th to 90th $7 to $59
$10$20$50$100$200facility $32professional $22

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
$12.30
Median
$43.65
Typical High
$251.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$93.33
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$21.88
Typical High
$64.57
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$20.42
Median
$33.11
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$20.89
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$30.90
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$19.50
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$489.78
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$23.99
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$37.15
Typical High
$61.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$33.88
Typical High
$67.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$25.12
Typical High
$61.66
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$28.84
Typical High
$79.43
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$33.88

Where Iowa 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.

Iowa· 11th of 51

$22.39

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.