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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 July 2026.

Facilitymedian $41,687 · 10th–90th $38,905$51,2860%20%10th90th$41,687Professionalmedian $123 · 10th–90th $55$48,9780%10%10th90th$123$50.0$200.0$1.0K$5.0K$20.0K

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$54.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$41,686.94
Typical High
$51,286.14
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$48,977.88
Typical High
$51,286.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$218.78