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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 July 2026.

Facilitymedian $123 · 10th–90th $72$1380%20%40%10th90th$123Professionalmedian $95 · 10th–90th $48$1820%5%10%10th90th$95$50.0$100.0$200.0

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

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$95.50
Typical High
$181.97