go back

Brief Office Visit (Minimal, Established Patient)

Illinois 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?

$19.50

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $63.10 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$19.05$9.33 to $25.70
FacilityA hospital or hospital-owned outpatient department$63.10$14.45 to $87.10

How much rates vary

Facilitymedian $63 · 10th to 90th $7 to $141Professionalmedian $19 · 10th to 90th $7 to $39
$10$20$50$100$200$500facility $63professional $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
$7.41
Median
$63.10
Typical High
$141.25
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$12.30
Median
$97.72
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$19.05
Typical High
$39.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$16.98
Median
$32.36
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$23.44
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.95
Median
$23.44
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$38.90
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$19.95
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.88
Typical High
$37.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$27.54
Typical High
$64.57
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$48.98
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$31.62
Typical High
$60.26
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$26.30
Typical High
$79.43

Where Illinois 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.

Illinois· 25th of 51

$19.50

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.