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Brief Office Visit (Minimal, Established Patient)

South 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?

$19.05

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $19.95 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$19.05$10.47 to $24.55
FacilityA hospital or hospital-owned outpatient department$19.95$10.72 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $7 to $69Professionalmedian $19 · 10th to 90th $7 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
$6.31
Median
$22.91
Typical High
$134.90
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$14.13
Median
$131.83
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$19.05
Typical High
$40.74
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$21.88
Median
$38.02
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.91
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$18.20
Median
$22.91
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$28.18
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$95.50
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.42
Typical High
$35.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$31.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$19.50
Typical High
$35.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$17.38
Typical High
$30.90

Where South 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.

South Carolina· 32nd of 51

$19.05

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.