99213 (OTHER) by state — Price Transparency

OTHER · across United States

99213 — Office Outpatient Visit / Office Visit Level 3 Est 99213 / Office Or Other Outpatient Visit For The Evaluation And Mana

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$109 National median

$62 – $199 IQR (p25 – p75)

88 hospitals filing

27 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $110.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 99213 (OTHER), with interquartile range
State	Median	p25	p75
WA	$32	$23	$84
AR	$54	$53	$54
KY	$56	$56	$306
OH	$56	$56	$57
NE	$57	$57	$60
WV	$60	$55	$60
NY	$62	$62	$68
GA	$71	$71	$71
TN	$73	$57	$85
MN	$74	$61	$106
MI	$76	$40	$81
AL	$78	$61	$161
NH	$83	$67	$105
MS	$83	$62	$162
ND	$85	$77	$134
PA	$86	$59	$114
AZ	$86	$85	$90
MO	$87	$87	$87
KS	$90	$73	$119
WI	$106	$41	$180
IA	$119	$45	$181
TX	$121	$72	$203
ID	$128	$71	$137
IL	$139	$63	$176
UT	$163	$106	$331
CA	$199	$186	$199
VA	$310	$310	$310

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WA	$32	$23	$84	$21	$161	1 ⚠ thin data	26	140
AR	$54	$53	$54	$20	$426	2 ⚠ thin data	34	124
KY	$56	$56	$306	$56	$355	2 ⚠ thin data	28	83
OH	$56	$56	$57	$16	$536	2 ⚠ thin data	34	290
NE	$57	$57	$60	$55	$469	2 ⚠ thin data	21	222
WV	$60	$55	$60	$49	$62	1 ⚠ thin data	28	79
NY	$62	$62	$68	$22	$106	2 ⚠ thin data	18	105
GA	$71	$71	$71	$57	$85	1 ⚠ thin data	18	20
TN	$73	$57	$85	$38	$128	4	26	153
MN	$74	$61	$106	$19	$248	3	7	52
MI	$76	$40	$81	$28	$93	4	17	74
AL	$78	$61	$161	$49	$253	2 ⚠ thin data	34	249
NH	$83	$67	$105	$30	$152	2 ⚠ thin data	14	83
MS	$83	$62	$162	$49	$820	5	34	1,078
ND	$85	$77	$134	$60	$151	1 ⚠ thin data	4	6
PA	$86	$59	$114	$28	$257	4	30	357
AZ	$86	$85	$90	$80	$92	1 ⚠ thin data	6	8
MO	$87	$87	$87	$87	$87	1 ⚠ thin data	1	1
KS	$90	$73	$119	$38	$119	3	18	32
WI	$106	$41	$180	$9	$218	1 ⚠ thin data	10	59
IA	$119	$45	$181	$29	$264	2 ⚠ thin data	10	28
TX	$121	$72	$203	$24	$727	18	32	483
ID	$128	$71	$137	$59	$170	1 ⚠ thin data	11	84
IL	$139	$63	$176	$18	$273	7	36	200
UT	$163	$106	$331	$26	$952	12	25	3,267
CA	$199	$186	$199	$26	$248	3	36	112
VA	$310	$310	$310	$310	$310	1 ⚠ thin data	8	11