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Office Visit, Established Patient (Moderate Complexity)

Mississippi 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?

$97.72

Typical negotiated rate. In Mississippi, 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 $89.13 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$97.72$79.43 to $123
FacilityA hospital or hospital-owned outpatient department$89.13$77.62 to $112

How much rates vary

Facilitymedian $89 · 10th to 90th $62 to $209Professionalmedian $98 · 10th to 90th $65 to $158
$20$50$100$200facility $89professional $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
$61.66
Median
$89.13
Typical High
$208.93
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$158.49
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$102.33
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$97.72
Median
$128.82
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$158.49
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$173.78
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$89.13
Typical High
$158.49

Where Mississippi 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.

Mississippi· 49th of 51

$97.72

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.