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Brief Office Visit (Minimal, Established Patient)

New Jersey 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 New Jersey, 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 $27.54 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$19.50$13.18 to $26.30
FacilityA hospital or hospital-owned outpatient department$27.54$8.91 to $234

How much rates vary

Facilitymedian $28 · 10th to 90th $6 to $724Professionalmedian $19 · 10th to 90th $7 to $38
$10$20$50$100$200$500$1Kfacility $28professional $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
$6.31
Median
$23.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$18.62
Typical High
$35.48
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$16.98
Median
$28.18
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$22.39
Typical High
$33.11
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$22.91
Typical High
$25.70
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$269.15
Typical High
$436.52
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$21.88
Typical High
$38.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$41.69
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$13,803.84
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$141.25
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$21.88
Typical High
$43.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$28.84
Typical High
$79.43

Where New Jersey 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.

New Jersey· 28th 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.