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Office Visit, Established Patient (Straightforward)

Nebraska 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?

$51.29

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $91.20 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 8 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$51.29$37.15 to $81.28
FacilityA hospital or hospital-owned outpatient department$91.20$54.95 to $110

How much rates vary

Facilitymedian $91 · 10th to 90th $40 to $158Professionalmedian $51 · 10th to 90th $28 to $98
$20$50$100$200$500facility $91professional $51

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
$53.70
Median
$97.72
Typical High
$177.83
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$186.21
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$97.72
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$70.79
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$51.29
Median
$63.10
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$63.10
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$93.33
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$77.62
Typical High
$162.18
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
$50.12
Median
$97.72
Typical High
$223.87
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$69.18
Median
$95.50
Typical High
$120.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$75.86
Typical High
$125.89
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$162.18
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$107.15
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where Nebraska 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.

Nebraska· 14th of 51

$51.29

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.