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Office Visit, Established Patient (Straightforward)

Oklahoma 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?

$43.65

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $52.48 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$43.65$34.67 to $52.48
FacilityA hospital or hospital-owned outpatient department$52.48$36.31 to $95.50

How much rates vary

Facilitymedian $52 · 10th to 90th $29 to $229Professionalmedian $44 · 10th to 90th $28 to $69
$20$50$100$200facility $52professional $44

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
$36.31
Median
$79.43
Typical High
$257.04
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$114.82
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$43.65
Typical High
$67.61
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$25.70
Median
$47.86
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$41.69
Median
$54.95
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$81.28
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
$38.02
Median
$53.70
Typical High
$354.81
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$42.66
Median
$52.48
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$70.79
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$37.15
Median
$70.79
Typical High
$89.13

Where Oklahoma 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.

Oklahoma· 43rd of 51

$43.65

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.