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Office Visit, Established Patient (Low Complexity)

Kansas rates for HCPCS 99213

A standard follow-up appointment with a doctor or other provider the patient has seen before, used for common, everyday medical concerns that require some evaluation and decision-making but aren't highly complex. It's one of the most frequently used visit levels for routine follow-ups, such as checking on a stable chronic condition or addressing a new but uncomplicated symptom. It sits between the most basic and more complex visit levels.

Rates data updated July 2026.

How much does Office Visit, Established Patient (Low Complexity) cost?

$75.86

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $74.13 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$75.86$61.66 to $89.13
FacilityA hospital or hospital-owned outpatient department$74.13$61.66 to $97.72

How much rates vary

Facilitymedian $74 · 10th to 90th $49 to $240Professionalmedian $76 · 10th to 90th $51 to $110
$10$20$50$100$200facility $74professional $76

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
$72.44
Typical High
$245.47
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$97.72
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$109.65
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$51.29
Median
$77.62
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$89.13
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$120.23
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$151.36
Median
$186.21
Typical High
$186.21
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$23.99
Median
$29.51
Typical High
$29.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$562.34
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$104.71
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$112.20
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$117.49
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$89.13
Typical High
$123.03

Where Kansas 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.

Kansas· 45th of 51

$75.86

MN $97.72DC $61.66

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.