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Office Visit, Established Patient (Straightforward)

Kansas 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 Kansas, 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 $53.70 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$34.67 to $54.95
FacilityA hospital or hospital-owned outpatient department$53.70$35.48 to $85.11

How much rates vary

Facilitymedian $54 · 10th to 90th $27 to $158Professionalmedian $45 · 10th to 90th $28 to $66
$20$50$100$200facility $54professional $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
$26.30
Median
$66.07
Typical High
$199.53
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$66.07
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$66.07
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$27.54
Median
$46.77
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$54.95
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$79.43
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$72.44
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$93.33
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$15.14
Median
$15.85
Typical High
$15.85
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$354.81
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$102.33
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$43.65
Typical High
$77.62
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$70.79
Typical High
$89.13

Where Kansas 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.

Kansas· 40th 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.