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Office Visit, Established Patient (Straightforward)

Connecticut 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?

$44.67

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $64.57 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$44.67$33.11 to $60.26
FacilityA hospital or hospital-owned outpatient department$64.57$39.81 to $214

How much rates vary

Facilitymedian $65 · 10th to 90th $30 to $251Professionalmedian $45 · 10th to 90th $25 to $95
$20$50$100$200$500facility $65professional $45

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
$30.20
Median
$63.10
Typical High
$251.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$141.25
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$93.33
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$35.48
Median
$64.57
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$95.50
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$123.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Health New England
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$77.62
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$109.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$79.43
Typical High
$100.00

Where Connecticut 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.

Connecticut· 37th of 51

$44.67

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.