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Office Visit, Established Patient (Straightforward)

North Dakota 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?

$53.70

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 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 4 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$53.70$38.90 to $97.72
FacilityA hospital or hospital-owned outpatient department$77.62$39.81 to $126

How much rates vary

Facilitymedian $78 · 10th to 90th $28 to $178Professionalmedian $54 · 10th to 90th $30 to $145
$20.0$50.0$100.0$200.0facility $78professional $54

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
$27.54
Median
$85.11
Typical High
$177.83
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$53.70
Typical High
$144.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$63.10
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$75.86
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$47.86
Typical High
$97.72
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
$45.71
Median
$97.72
Typical High
$223.87
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$114.82
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$57.54
Typical High
$109.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$112.20

Where North Dakota sits

The same service costs 1.6 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Dakota $53.70 · 12th of 51
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.