New Patient Office Visit, Straightforward

Illinois 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 rates vary

Facilitymedian $110 · 10th to 90th $72 to $234Professionalmedian $79 · 10th to 90th $45 to $138

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Illinois Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $234.42	Facility	None	$72.44	$109.65	$234.42
Cigna Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $138.04	Professional	None	$44.67	$79.43	$138.04