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Brief Office Visit (Minimal, Established Patient)

West 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?

$18.20

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $23.44 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$18.20$10.23 to $25.12
FacilityA hospital or hospital-owned outpatient department$23.44$17.78 to $138

How much rates vary

Facilitymedian $23 · 10th to 90th $9 to $170Professionalmedian $18 · 10th to 90th $7 to $40
$10$20$50$100facility $23professional $18

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
$15.85
Median
$23.44
Typical High
$169.82
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$18.20
Typical High
$40.74
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$20.89
Median
$39.81
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$10.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$21.38
Typical High
$117.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$24.55
Typical High
$38.90
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$22.91
Median
$25.12
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$23.99
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$16.98
Typical High
$33.11
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$28.84
Typical High
$79.43

Where West 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.

West Virginia· 44th of 51

$18.20

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.