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Office Visit, Established Patient (Low Complexity)

Wyoming 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?

$87.10

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $263 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 4 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$85.11$64.57 to $100
FacilityA hospital or hospital-owned outpatient department$263$97.72 to $447

How much rates vary

Facilitymedian $263 · 10th to 90th $95 to $776Professionalmedian $85 · 10th to 90th $50 to $151
$10$20$50$100$200$500facility $263professional $85

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
$95.50
Median
$263.03
Typical High
$776.25
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$97.72
Median
$446.68
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$144.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$89.13
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$112.20
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$162.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$89.13
Typical High
$154.88

Where Wyoming 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.

Wyoming· 15th of 51

$87.10

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.