New Patient Office Visit, Straightforward

Kentucky 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

Professionalmedian $32 · 10th to 90th $23 to $102

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $54.95	Professional	None	$43.65	$43.65	$54.95
Cigna Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $102.33	Professional	None	$22.91	$29.51	$102.33