Asked as “cpt code 99214” · last updated 9/13/2026
Market estimate · USD
United States; no standardized global price for this U.S. billing code · per per visit, professional fee only
Limited public pricing matched this item. Try a more common name or add a location.
Assuming you want the cost of a visit billed under CPT 99214, a broad U.S. self-pay budgeting estimate is $100–$350, with approximately $200 as a midpoint. This code generally describes an established-patient outpatient visit involving moderate medical decision-making, or 30–39 minutes of qualifying clinician time when selected by time. These are approximate estimates from background knowledge, not verified current quotes; insurance-negotiated payments, billed charges, and your actual out-of-pocket cost can differ substantially. A global estimate is not reliable because other countries use different billing and payment systems.
This is a budgeting estimate, not medical, insurance, or financial advice, and it is not a guaranteed quote.
Confirm whether the quoted amount is the billed charge, discounted cash price, insurer-allowed amount, or your estimated patient responsibility.
Ask whether facility fees and any tests or procedures are billed separately.
No live price research was performed. An exact research-production timestamp is unavailable.
Payment basis
Cash prices, undiscounted billed charges, and insurer-allowed amounts are different measures and should not be compared directly.
Insurance coverage
Copays, coinsurance, deductibles, and network status determine the patient's share.
Practice and location
Specialty, local costs, and hospital ownership can affect prices.
Additional services
Laboratory tests, imaging, procedures, medications, and separate facility fees may increase the total.
CPT 99213 — lower-complexity established-patient visit
Often less expensive, but appropriate only when the documented care supports this code; patients cannot simply substitute a lower billing level.
Community health center with sliding-fee discounts
May reduce the patient's cost depending on household income and eligibility.
CPT 99215 — higher-complexity established-patient visit
Generally more expensive and applicable only when supported by the encounter's documentation.
Physician Fee Schedule
Centers for Medicare & Medicaid Services · Authoritative reference for Medicare physician payment methodology; Medicare reimbursement is not a universal retail or self-pay price. Not checked live for this estimate.
CPT Evaluation and Management
American Medical Association · Reference for office/outpatient evaluation-and-management coding, including code selection by medical decision-making or time; not a price source.
Find a Health Center
Health Resources and Services Administration · Locator for health centers that may offer income-based discounts; not evidence for the estimated price range.
This is an AI-generated estimate for planning purposes. Prices vary by region, vendor, timing, and your specific situation. Confirm with providers before buying.