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Office Visit, Established Patient (Straightforward)

South Carolina 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?

$46.77

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $47.86 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$46.77$33.88 to $63.10
FacilityA hospital or hospital-owned outpatient department$47.86$33.88 to $72.44

How much rates vary

Facilitymedian $48 · 10th to 90th $27 to $123Professionalmedian $47 · 10th to 90th $25 to $95
$10$20$50$100$200facility $48professional $47

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
$25.12
Median
$47.86
Typical High
$151.36
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$147.91
Median
$151.36
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$46.77
Typical High
$95.50
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$60.26
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$45.71
Median
$56.23
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$61.66
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$95.50
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$44.67
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$56.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$79.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$37.15
Typical High
$67.61
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$54.95
Median
$79.43
Typical High
$100.00

Where South Carolina 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.

South Carolina· 31st of 51

$46.77

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.