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Established Patient Office Visit, High Complexity

Alaska rates for HCPCS 99215

This is the most involved type of office visit for a patient who has already been seen by that practice, used when the medical decision-making is complex, such as managing multiple serious conditions or higher-risk treatment decisions. It reflects a high degree of complexity in the medical decisions made, or a longer amount of time spent with the patient during that visit. It differs from more routine follow-up visits mainly by that greater complexity or time.

Rates data updated July 2026.

How much does Established Patient Office Visit, High Complexity cost?

$162

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $186 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$162$123 to $309
FacilityA hospital or hospital-owned outpatient department$186$145 to $269

How much rates vary

Facilitymedian $186 · 10th to 90th $112 to $355Professionalmedian $162 · 10th to 90th $102 to $447
$100$200$500facility $186professional $162

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
$208.93
Median
$338.84
Typical High
$537.03
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$512.86
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$338.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$125.89
Median
$251.19
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$870.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$269.15
Typical High
$436.52
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$323.59
Typical High
$338.84

Where Alaska sits

The same service costs 1.8 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.

Alaska· 21st of 51

$162

MN $219DC $123

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.