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Office Visit, Established Patient (Moderate Complexity)

New Hampshire 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 New Hampshire, 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 $112 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 8 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 $178
FacilityA hospital or hospital-owned outpatient department$112$93.33 to $174

How much rates vary

Facilitymedian $112 · 10th to 90th $72 to $219Professionalmedian $120 · 10th to 90th $65 to $240
$20$50$100$200$500$1Kfacility $112professional $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
$72.44
Median
$112.20
Typical High
$218.78
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$251.19
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$104.71
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$102.33
Median
$138.04
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$1,000.00
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$257.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$309.03
Optum
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$309.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$89.13
Typical High
$169.82
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$138.04

Where New Hampshire 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.

New Hampshire· 18th 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.