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Office Visit, Established Patient (Straightforward)

Minnesota 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?

$63.10

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $77.62 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$63.10$43.65 to $105
FacilityA hospital or hospital-owned outpatient department$77.62$44.67 to $132

How much rates vary

Facilitymedian $78 · 10th to 90th $30 to $282Professionalmedian $63 · 10th to 90th $32 to $155
$20$50$100$200$500facility $78professional $63

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
$32.36
Median
$91.20
Typical High
$281.84
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$51.29
Median
$223.87
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$52.48
Typical High
$138.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$33.11
Median
$61.66
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$64.57
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$158.49
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$43.65
Median
$77.62
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$562.34
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
$40.74
Median
$102.33
Typical High
$186.21
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$446.68
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$52.48
Typical High
$117.49
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$199.53
Typical High
$602.56
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
$60.26
Median
$128.82
Typical High
$177.83
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$83.18
Median
$120.23
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$77.62
Typical High
$134.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$85.11
Typical High
$112.20

Where Minnesota 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.

Minnesota· 1st of 51

$63.10

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.