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Brief Office Visit (Minimal, Established Patient)

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $21.88 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 8 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$19.50$10.00 to $25.12
FacilityA hospital or hospital-owned outpatient department$21.88$9.33 to $46.77

How much rates vary

Facilitymedian $22 · 10th to 90th $8 to $102Professionalmedian $19 · 10th to 90th $7 to $35
$10$20$50$100$200$500facility $22professional $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
$7.76
Median
$22.39
Typical High
$102.33
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$102.33
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.05
Typical High
$36.31
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$16.98
Median
$30.90
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$22.91
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$22.91
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$28.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$27.54
Typical High
$31.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.47
Typical High
$11.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$20.42
Typical High
$37.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.78
Typical High
$23.99
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$17.38
Typical High
$29.51
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$33.88
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$85.11
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$21.88
Typical High
$61.66
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$24.55
Typical High
$24.55

Where Michigan 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.

Michigan· 23rd 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.