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Brief Office Visit (Minimal, Established Patient)

North Carolina 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?

$21.38

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 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$21.38$15.49 to $30.20
FacilityA hospital or hospital-owned outpatient department$21.88$10.96 to $30.90

How much rates vary

Facilitymedian $22 · 10th to 90th $9 to $55Professionalmedian $21 · 10th to 90th $9 to $46
$10$20$50$100facility $22professional $21

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
$8.71
Median
$22.91
Typical High
$128.82
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$134.90
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$19.95
Typical High
$41.69
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$30.90
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$22.91
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.50
Median
$22.91
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$27.54
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$120.23
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.88
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$42.66
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$19.95
Typical High
$34.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$57.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$48.98
Typical High
$154.88
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
$24.55
Median
$28.84
Typical High
$79.43
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$489.78
Typical High
$489.78

Where North Carolina 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.

North Carolina· 16th of 51

$21.38

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.