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Office Visit, Established Patient (Straightforward)

Oregon 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?

$58.88

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $67.61 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 9 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$58.88$42.66 to $85.11
FacilityA hospital or hospital-owned outpatient department$67.61$45.71 to $97.72

How much rates vary

Facilitymedian $68 · 10th to 90th $32 to $120Professionalmedian $59 · 10th to 90th $31 to $135
$20$50$100$200facility $68professional $59

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
$48.98
Median
$104.71
Typical High
$295.12
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$120.23
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$54.95
Typical High
$138.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$37.15
Median
$63.10
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$63.10
Typical High
$125.89
HealthNet
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$89.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$134.90
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$112.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$50.12
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$141.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$66.07
Typical High
$107.15
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$89.13
Typical High
$100.00

Where Oregon 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.

Oregon· 3rd of 51

$58.88

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.