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Brief Office Visit (Minimal, Established Patient)

Tennessee 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 Tennessee, 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 $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$19.05$12.02 to $23.44
FacilityA hospital or hospital-owned outpatient department$27.54$17.78 to $93.33

How much rates vary

Facilitymedian $28 · 10th to 90th $10 to $105Professionalmedian $19 · 10th to 90th $7 to $32
$10$100$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
$7.24
Median
$70.79
Typical High
$100.00
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$87.10
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$19.05
Typical High
$31.62
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.44
Median
$39.81
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$22.39
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$18.62
Median
$22.39
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$120.23
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$19.95
Typical High
$33.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$218.78
Typical High
$489.78
Optum
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$19.50
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.05
Typical High
$38.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where Tennessee 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.

Tennessee· 39th 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.