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Brief Office Visit (Minimal, Established Patient)

Idaho 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?

$22.91

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $28.18 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$16.22 to $30.90
FacilityA hospital or hospital-owned outpatient department$28.18$14.13 to $38.90

How much rates vary

Facilitymedian $28 · 10th to 90th $10 to $129Professionalmedian $22 · 10th to 90th $8 to $49
$10$20$50$100$200facility $28professional $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
$14.13
Median
$38.02
Typical High
$177.83
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$83.18
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$22.39
Typical High
$54.95
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$8.32
Median
$29.51
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$63.10
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$30.20
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$20.89
Typical High
$38.02
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$20.89
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$28.84
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$44.67
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$23.44
Typical High
$40.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$30.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$14.13
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$44.67
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where Idaho 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.

Idaho· 9th of 51

$22.91

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.