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Brief Office Visit (Minimal, Established Patient)

Maryland 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?

$19.05

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $97.72 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$19.05$10.00 to $25.12
FacilityA hospital or hospital-owned outpatient department$97.72$61.66 to $191

How much rates vary

Facilitymedian $98 · 10th to 90th $16 to $224Professionalmedian $19 · 10th to 90th $7 to $38
$10$20$50$100$200facility $98professional $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
$16.22
Median
$97.72
Typical High
$223.87
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$147.91
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.05
Typical High
$38.90
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$31.62
Typical High
$74.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.76
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$20.89
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$26.30
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$18.62
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$19.05
Typical High
$39.81
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$22.91
Median
$26.30
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$24.55
Typical High
$37.15

Where Maryland 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.

Maryland· 34th of 51

$19.05

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.