go back

Office Visit, Established Patient (Low Complexity)

Minnesota 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?

$97.72

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $105 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$97.72$70.79 to $174
FacilityA hospital or hospital-owned outpatient department$105$72.44 to $234

How much rates vary

Facilitymedian $105 · 10th to 90th $54 to $468Professionalmedian $98 · 10th to 90th $55 to $245
$20$50$100$200$500facility $105professional $98

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
$53.70
Median
$104.71
Typical High
$467.74
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$190.55
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$229.09
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$52.48
Median
$91.20
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$120.23
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$257.04
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$83.18
Median
$144.54
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$912.01
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$173.78
Typical High
$309.03
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$707.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$199.53
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$204.17
Typical High
$436.52
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
$151.36
Median
$213.80
Typical High
$275.42
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$199.53
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$218.78
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$91.20
Typical High
$138.04

Where Minnesota 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.

Minnesota· 1st of 51

$97.72

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.