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Office Visit, Established Patient (Straightforward)

Mississippi 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?

$41.69

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $75.86 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$41.69$32.36 to $50.12
FacilityA hospital or hospital-owned outpatient department$75.86$33.11 to $85.11

How much rates vary

Facilitymedian $76 · 10th to 90th $26 to $141Professionalmedian $42 · 10th to 90th $26 to $63
$20$50$100$200facility $76professional $42

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
$43.65
Typical High
$141.25
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$141.25
Median
$151.36
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$37.15
Median
$54.95
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$40.74
Median
$56.23
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$42.66
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$69.18
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$69.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$79.43
Typical High
$89.13

Where Mississippi 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.

Mississippi· 48th of 51

$41.69

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.