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Brief Office Visit (Minimal, Established Patient)

New Mexico 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 Mexico, 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 $20.42 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$12.02 to $23.99
FacilityA hospital or hospital-owned outpatient department$20.42$11.48 to $28.18

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $43Professionalmedian $19 · 10th to 90th $8 to $40
$10$20$50$100$200facility $20professional $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
$8.13
Median
$20.42
Typical High
$281.84
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$281.84
Median
$281.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$19.95
Typical High
$48.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$30.90
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$21.38
Typical High
$26.92
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$19.05
Median
$21.38
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$15.85
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$19.50
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$35.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.89
Typical High
$36.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$89.13
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$22.39
Typical High
$45.71
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$24.55
Median
$28.84
Typical High
$79.43

Where New Mexico 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 Mexico· 24th 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.