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Office Visit, Established Patient (Moderate Complexity)

Alaska rates for HCPCS 99214

A follow-up appointment with a doctor or other provider the patient has seen before, involving a moderate level of medical decision-making, such as managing several ongoing conditions or a condition that has changed and needs a closer look. It typically takes more time and involves more discussion and evaluation than a routine, simple check-in. The exact length varies, but it reflects a meaningful step up in complexity from the most basic follow-up visit.

Rates data updated July 2026.

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

$120

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $135 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$120$87.10 to $209
FacilityA hospital or hospital-owned outpatient department$135$100 to $195

How much rates vary

Facilitymedian $135 · 10th to 90th $78 to $282Professionalmedian $120 · 10th to 90th $71 to $316
$50$100$200$500facility $135professional $120

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
$75.86
Median
$281.84
Typical High
$630.96
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$478.63
Median
$977.24
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$251.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$151.36
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$239.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$602.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$173.78
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$323.59
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$89.13
Typical High
$234.42

Where Alaska sits

The same service costs 1.7 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.

Alaska· 19th of 51

$120

MN $148DC $89.13

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.