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Office Visit, Established Patient (Moderate Complexity)

Nevada 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?

$123

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $166 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 7 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$123$91.20 to $174
FacilityA hospital or hospital-owned outpatient department$166$120 to $2,239

How much rates vary

Facilitymedian $166 · 10th to 90th $100 to $2,239Professionalmedian $123 · 10th to 90th $69 to $288
$50$100$200$500$1K$2Kfacility $166professional $123

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$478.63
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$302.00
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$131.83
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$107.15
Median
$134.90
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$190.55
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$177.83
Hometown Health
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$134.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$190.55
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$144.54
Typical High
$234.42

Where Nevada 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.

Nevada· 15th of 51

$123

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.