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Established Patient Office Visit, High Complexity

Kansas 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?

$148

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $135 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$148$123 to $174
FacilityA hospital or hospital-owned outpatient department$135$93.33 to $178

How much rates vary

Facilitymedian $135 · 10th to 90th $65 to $398Professionalmedian $148 · 10th to 90th $105 to $209
$10$20$50$100$200$500facility $135professional $148

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
$64.57
Median
$107.15
Typical High
$467.74
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$66.07
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$74.13
Median
$165.96
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$144.54
Median
$181.97
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$194.98
Median
$208.93
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$112.20
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$239.88
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$89.13
Typical High
$95.50

Where Kansas 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.

Kansas· 33rd of 51

$148

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.