What is the difference between 99213 and 99214?

99213 is a 20–29 minute visit with low-complexity decision-making, for example a single stable condition. 99214 is a 30–39 minute visit or one that involves moderate complexity, such as adjusting prescription medication or managing two or more chronic conditions.

Can a follow-up visit cost more than the price listed?

Yes, if additional services are performed and billed separately, such as blood draws, vaccines, ECGs, or in-office procedures. The rates here cover the visit itself.

California · Follow-up visit

How much does a follow-up visit cost in California?

The median negotiated rate for an established patient office visit, moderate-complexity decision-making, 30–39 minutes (CPT 99214) among 420 California primary care doctors with published rates is $194, ranging from $58 to $287. UnitedHealthcare in-network rates, February 2026.

$194

Median · CPT 99214

$58

Lowest listed

$287

Highest listed

420

Doctors reporting

About This Visit

Once you have seen a doctor at least once in the past three years you are an established patient, and your visits are billed with codes 99211 through 99215. The large majority of routine primary care visits bill as 99213 (a shorter, simpler visit) or 99214 (a longer visit, or one that involves managing prescriptions or multiple conditions).

Follow-up visits are consistently cheaper than new patient visits for the same length of time because there is no initial history to take.

Rates by Visit Code

Visit	Median	Lowest	Highest	Doctors
Established patient visit that may not require a physician (e.g. nurse visit) CPT: 99211	$35	$11	$165	194
Established patient office visit, straightforward decision-making, 10–19 minutes CPT: 99212	$89	$31	$284	347
Established patient office visit, low-complexity decision-making, 20–29 minutes CPT: 99213	$137	$44	$204	422
Established patient office visit, moderate-complexity decision-making, 30–39 minutes CPT: 99214	$194	$58	$287	420
Established patient office visit, high-complexity decision-making, 40–54 minutes CPT: 99215	$284	$70	$403	392

Computed across California doctors listed on this site who report the code. Visits after you are an existing patient. Most routine follow-ups bill as 99213 or 99214.

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By City

Median across doctors listed on this site in each city. Cities with at least three doctors reporting the code.

City	Follow-up visit, 20–29 min (99213)	Follow-up visit, 30–39 min (99214)	Doctors
San Francisco	$178$102–$178	$217$88–$217	19
Fullerton	$143$112–$143	$202$202–$202	18
San Diego	$174$87–$204	$253$70–$287	17
Mission Viejo	$143$114–$143	$202$171–$202	16
Long Beach	$121$121–$121	$178$178–$178	11
Fremont	$121$114–$178	$159$159–$217	10
Los Angeles	$163$106–$173	$242$152–$251	10
Oakland	$178$104–$178	$217$147–$217	10
Bakersfield	$109$48–$109	$154$80–$157	9
San Jose	$142$142–$142	$176$176–$176	9
Torrance	$121$121–$121	$178$164–$178	9
Covina	$121$121–$121	$178$178–$178	8
Santa Barbara	$166$102–$166	$235$150–$235	8
Walnut Creek	$162$162–$162	$228$228–$228	8
Anaheim	$121$121–$144	$178$80–$206	7
Fresno	$169$106–$169	$238$157–$238	7
Newport Beach	$126$50–$143	$174$79–$202	7
Pasadena	$121$121–$143	$178$178–$202	7
Santa Rosa	$143$118–$143	$202$140–$202	7
Yorba Linda	$143$143–$143	$202$202–$202	7
Brea	$143$143–$143	$202$202–$202	5
Huntington Beach	$132$50–$143	$190$80–$202	5
Napa	$143$102–$143	$202$150–$202	5
San Ramon	$162$136–$162	$228$228–$228	5

Lowest and Highest

392 doctors report CPT 99214. Full lists for each city are on the city pages.

Lowest negotiated rates

Dr. Kausalya Bhaskarabhatla, MD
Antioch
$58
Dr. Sultan Chopan, MD
Oroville4.6(10)
$68
Dr. Pamela De Silva, MD
Palmdale3.5(28)
$79
Dr. Bradley Kays, MD
Newport Beach4.8(14)
$79
Dr. Patrica Schechter, DO
Atascadero
$79
Dr. Douglas Garrison, DO
Huntington Beach
$80
Dr. Cranford Scott, MD
Inglewood3.3(12)
$82
Dr. Hani Salib, MD
Palm Springs
$85
Dr. Mobin Ghavami, MD
Lodi3.9(27)
$111
Dr. David Wine, MD
Vista
$117

Highest negotiated rates

Dr. Lee Remington-Boone, MD
La Mesa
$287
Dr. Adam Pacal, MD
San Diego
$287
Dr. Scott Mercer, MD
Encinitas
$287
Dr. Stephen Lee, MD
San Diego
$287
Dr. Aristotelis Laliotis, MD
Del Mar
$287
Dr. Carlos Jimenez-Grillo, MD
Chula Vista
$287
Dr. Robert Holmes, MD
San Diego
$287
Dr. Lisa Gleason, MD
Del Mar
$287
Dr. Sarah Coskun, MD
San Diego
$287
Dr. Farschad Birdjandi, MD
Chula Vista
$287

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Questions

What is the average cost of an established patient office visit, moderate-complexity decision-making, 30–39 minutes in California?: Across 420 California primary care doctors with doctor-level rates, the median UnitedHealthcare negotiated rate for CPT 99214 is $194, ranging from $58 to $287.
What is the difference between 99213 and 99214?: 99213 is a 20–29 minute visit with low-complexity decision-making, for example a single stable condition. 99214 is a 30–39 minute visit or one that involves moderate complexity, such as adjusting prescription medication or managing two or more chronic conditions.
Can a follow-up visit cost more than the price listed?: Yes, if additional services are performed and billed separately, such as blood draws, vaccines, ECGs, or in-office procedures. The rates here cover the visit itself.