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Established Patient Office Visit, High Complexity

Wyoming 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 Wyoming, 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 $219 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$162$126 to $214
FacilityA hospital or hospital-owned outpatient department$219$166 to $219

How much rates vary

Facilitymedian $219 · 10th to 90th $151 to $219Professionalmedian $162 · 10th to 90th $95 to $331
$20$50$100$200$500facility $219professional $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. 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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$190.55
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$40.74
Median
$169.82
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$331.13
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$89.13
Typical High
$323.59

Where Wyoming 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.

Wyoming· 19th 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.