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Office Visit, Established Patient (Straightforward)

New Hampshire 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 New Hampshire, 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 $81.28 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$38.90 to $74.13
FacilityA hospital or hospital-owned outpatient department$81.28$52.48 to $151

How much rates vary

Facilitymedian $81 · 10th to 90th $32 to $224Professionalmedian $51 · 10th to 90th $29 to $100
$20$50$100$200facility $81professional $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
$31.62
Median
$81.28
Typical High
$199.53
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$89.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.18
Median
$56.23
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$58.88
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$30.20
Median
$58.88
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$70.79
Typical High
$134.90
Optum
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$67.61
Typical High
$134.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$67.61
Typical High
$89.13
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$39.81
Typical High
$61.66
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$87.10
Median
$120.23
Typical High
$128.82

Where New Hampshire 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.

New Hampshire· 15th 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.