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Brief Office Visit (Minimal, Established Patient)

Maine 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?

$20.42

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $22.39 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$20.42$12.30 to $25.12
FacilityA hospital or hospital-owned outpatient department$22.39$17.78 to $35.48

How much rates vary

Facilitymedian $22 · 10th to 90th $8 to $138Professionalmedian $20 · 10th to 90th $8 to $39
$10$50$200$1Kfacility $22professional $20

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
$8.13
Median
$22.39
Typical High
$138.04
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$95.50
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$19.05
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$19.95
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$43.65
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$46.77
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$25.12
Typical High
$60.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$22.39
Typical High
$120.23
Martin's Point
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$95.50
Typical High
$125.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$20.42
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$27.54
Typical High
$51.29
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$28.84
Typical High
$33.11

Where Maine 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.

Maine· 20th of 51

$20.42

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.