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Brief Office Visit (Minimal, Established Patient)

Kentucky 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?

$18.62

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $14.45 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$18.62$9.77 to $25.12
FacilityA hospital or hospital-owned outpatient department$14.45$7.59 to $18.20

How much rates vary

Facilitymedian $14 · 10th to 90th $6 to $28Professionalmedian $19 · 10th to 90th $7 to $38
$10$20$50$100facility $14professional $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
$5.75
Median
$14.45
Typical High
$23.44
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$190.55
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$19.05
Typical High
$38.90
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$27.54
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$22.91
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$22.91
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$17.38
Typical High
$23.44
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
$6.92
Median
$8.91
Typical High
$12.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$22.91
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$20.89
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$25.70
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$18.20
Typical High
$34.67
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$28.84
Typical High
$89.13

Where Kentucky 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.

Kentucky· 40th of 51

$18.62

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.