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Office Visit, Established Patient (Moderate Complexity)

Wyoming 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 Wyoming, 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 $174 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 4 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$93.33 to $148
FacilityA hospital or hospital-owned outpatient department$174$162 to $871

How much rates vary

Facilitymedian $174 · 10th to 90th $145 to $871Professionalmedian $123 · 10th to 90th $68 to $219
$20$50$100$200$500facility $174professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$354.81
Typical High
$870.96
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$223.87
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$213.80
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$37.15
Median
$125.89
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$239.88
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$177.83
Median
$177.83
Typical High
$177.83

Where Wyoming 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.

Wyoming· 17th 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.