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Office Visit, Established Patient (Moderate Complexity)

Minnesota 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?

$148

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 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$148$97.72 to $257
FacilityA hospital or hospital-owned outpatient department$135$83.18 to $263

How much rates vary

Facilitymedian $135 · 10th to 90th $63 to $437Professionalmedian $148 · 10th to 90th $76 to $363
$50$100$200$500$1Kfacility $135professional $148

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
$50.12
Median
$125.89
Typical High
$302.00
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$134.90
Median
$316.23
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$128.82
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$363.08
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$120.23
Median
$208.93
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$251.19
Typical High
$436.52
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$1,000.00
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$416.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$281.84
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$239.88
Median
$371.54
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$398.11
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$288.40
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$181.97
Typical High
$316.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$95.50
Typical High
$181.97

Where Minnesota 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.

Minnesota· 1st of 51

$148

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.