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Office Visit, Established Patient (Straightforward)

Nevada 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?

$47.86

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $110 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 7 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$47.86$35.48 to $66.07
FacilityA hospital or hospital-owned outpatient department$110$53.70 to $724

How much rates vary

Facilitymedian $110 · 10th to 90th $39 to $724Professionalmedian $48 · 10th to 90th $25 to $107
$20$50$100$200$500facility $110professional $48

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$107.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$58.88
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$44.67
Median
$54.95
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$47.86
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$83.18
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$44.67
Typical High
$79.43
Hometown Health
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$89.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$58.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$85.11
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$54.95
Median
$72.44
Typical High
$112.20

Where Nevada 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.

Nevada· 27th of 51

$47.86

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.