go back

Brief Office Visit (Minimal, Established Patient)

Vermont 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?

$23.99

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $19.50 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 5 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$23.99$19.05 to $32.36
FacilityA hospital or hospital-owned outpatient department$19.50$9.12 to $26.30

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $166Professionalmedian $24 · 10th to 90th $9 to $72
$10$20$50$100facility $19professional $24

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. Small sample; interpret with caution. 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
$19.50
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$23.99
Typical High
$72.44
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$39.81
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$23.44
Typical High
$41.69
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$18.20
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$25.12
Typical High
$70.79

Where Vermont 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.

Vermont· 3rd of 51

$23.99

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.