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New Patient Office Visit, Straightforward

Colorado 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 October 2026.

How much does New Patient Office Visit, Straightforward cost?

$79.43

Typical physician fee. In Colorado, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $54.95 to $132.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $44 to $229
$50$100$200professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$131.83
Typical High
$338.84

Where Colorado sits

The same service costs 6.9 times more in Texas than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 15th of 46

$79.43

TX $209SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.