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Brief Office Visit (Minimal, Established Patient)

Montana 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?

$22.91

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $23.44 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 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$23.44$16.60 to $33.11
FacilityA hospital or hospital-owned outpatient department$22.91$14.79 to $36.31

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $44Professionalmedian $23 · 10th to 90th $8 to $71
$10$20$50$100$200facility $23professional $23

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
$117.49
Median
$190.55
Typical High
$316.23
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$46.77
Median
$107.15
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$72.44
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$16.98
Median
$25.12
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$31.62
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$39.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$25.70
Typical High
$40.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.70
Typical High
$40.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.89
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$24.55
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$23.99
Typical High
$44.67

Where Montana 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.

Montana· 8th of 51

$22.91

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.