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Brief Office Visit (Minimal, Established Patient)

Missouri 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?

$19.95

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $22.91 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$19.95$12.02 to $27.54
FacilityA hospital or hospital-owned outpatient department$22.91$11.48 to $79.43

How much rates vary

Facilitymedian $23 · 10th to 90th $7 to $138Professionalmedian $20 · 10th to 90th $7 to $41
$10$20$50$100$200facility $23professional $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
$7.41
Median
$26.30
Typical High
$144.54
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$74.13
Median
$147.91
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$19.95
Typical High
$41.69
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.95
Median
$32.36
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$22.39
Typical High
$31.62
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$9.12
Median
$22.91
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$17.78
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$21.88
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$144.54
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.42
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$17.78
Typical High
$36.31
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$28.18
Typical High
$489.78
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$26.30
Median
$26.30
Typical High
$30.20
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$24.55
Typical High
$28.84
Qualchoice
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$26.92
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$20.42
Typical High
$42.66
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$23.99
Typical High
$24.55

Where Missouri 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.

Missouri· 21st of 51

$19.95

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.