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New Patient Office Visit, Straightforward

Nationwide rates for HCPCS 99201

A first visit at an office or clinic with a clinician who has not seen you before. It covers a short, uncomplicated visit for a minor problem, with a brief history, a limited examination and simple decision-making. Longer versions of the same visit are used when the problem is more involved.

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $60$1780%20%40%10th$178Professionalmedian $51 · 10th–90th $34$950%20%10th90th$51$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67