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Brief Office Visit (Minimal, Established Patient)

Indiana 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?

$17.38

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $31.62 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 6 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$17.38$8.91 to $22.91
FacilityA hospital or hospital-owned outpatient department$31.62$11.22 to $93.33

How much rates vary

Facilitymedian $32 · 10th to 90th $6 to $209Professionalmedian $17 · 10th to 90th $6 to $30
$5$10$20$50$100$200$500facility $32professional $17

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
$6.46
Median
$31.62
Typical High
$208.93
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$52.48
Median
$154.88
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$16.98
Typical High
$30.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$14.79
Median
$30.20
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$22.91
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$22.91
Typical High
$29.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$11.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.70
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$30.20
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$20.42
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$24.55
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.50
Typical High
$44.67
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$26.30
Typical High
$79.43

Where Indiana 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.

Indiana· 50th of 51

$17.38

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.