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Office Visit, Established Patient (Straightforward)

Utah 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.

Facilitymedian $50 · 10th–90th $41$1000%10%20%10th90th$50Professionalmedian $56 · 10th–90th $30$1170%10%10th90th$56$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$50.12
Typical High
$100.00
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$125.89
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$33.11
Median
$57.54
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$69.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$81.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$61.66
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$53.70
Typical High
$102.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$44.67
Typical High
$79.43
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$51.29
Median
$67.61
Typical High
$89.13