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New Patient Office Visit, Straightforward

California 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 $178$1780%50%100%$178Professionalmedian $209 · 10th–90th $110$2090%50%10th$209$50.0$100.0$200.0$500.0

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$173.78
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$120.23