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Brief Office Visit (Minimal, Established Patient)

Virginia 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 Virginia, 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 $17.38 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$19.05$10.23 to $25.12
FacilityA hospital or hospital-owned outpatient department$17.38$9.77 to $26.30

How much rates vary

Facilitymedian $17 · 10th to 90th $8 to $40Professionalmedian $19 · 10th to 90th $7 to $34
$10$20$50$100$200facility $17professional $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
$7.08
Median
$19.95
Typical High
$100.00
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$70.79
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$19.05
Typical High
$32.36
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$14.79
Median
$29.51
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$21.38
Typical High
$40.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.76
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$141.25
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.38
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$41.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$31.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$20.42
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$25.12
Typical High
$50.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$19.95
Sentara
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$97.72
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$18.20
Typical High
$40.74
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$24.55
Typical High
$79.43

Where Virginia 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.

Virginia· 38th 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.