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Brief Office Visit (Minimal, Established Patient)

South Dakota 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?

$23.44

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $120 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$22.91$15.14 to $43.65
FacilityA hospital or hospital-owned outpatient department$120$70.79 to $224

How much rates vary

Facilitymedian $120 · 10th to 90th $26 to $257Professionalmedian $23 · 10th to 90th $7 to $56
$10$20$50$100$200facility $120professional $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
$46.77
Median
$131.83
Typical High
$257.04
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$74.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$22.91
Typical High
$56.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$29.51
Median
$41.69
Typical High
$61.66
Avera
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$13.80
Avera
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$23.99
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.50
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$17.78
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$33.88
Typical High
$44.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.42
Typical High
$45.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$25.70
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$22.39
Typical High
$56.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$37.15

Where South Dakota 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 Dakota· 5th of 51

$23.44

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.