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Office Visit, Established Patient (Straightforward)

Arizona rates for HCPCS 99212

A brief follow-up appointment with a doctor or other provider the patient has seen before, used for simple, low-complexity issues that don't require much evaluation or decision-making. It's the most basic level of an established-patient office visit, often used for minor concerns or quick check-ins. Visit length and content are limited compared to visits addressing more involved problems.

Rates data updated July 2026.

How much does Office Visit, Established Patient (Straightforward) cost?

$48.98

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $50.12 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 6 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$48.98$36.31 to $69.18
FacilityA hospital or hospital-owned outpatient department$50.12$34.67 to $117

How much rates vary

Facilitymedian $50 · 10th to 90th $27 to $331Professionalmedian $49 · 10th to 90th $26 to $115
$20$50$100$200$500facility $50professional $49

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
$26.92
Median
$97.72
Typical High
$416.87
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$371.54
Median
$426.58
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$48.98
Typical High
$114.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$60.26
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$41.69
Median
$54.95
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$30.90
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$41.69
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$234.42
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$87.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$74.13
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$354.81
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.99
Median
$47.86
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$58.88
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$42.66
Typical High
$85.11
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$72.44
Typical High
$100.00

Where Arizona sits

The same service costs 1.6 times more in Minnesota than in Washington, DC. 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.

Arizona· 24th of 51

$48.98

MN $63.10DC $38.90

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.