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New Patient Office Visit, Straightforward

Michigan 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 $66 · 10th–90th $66$660%50%100%$66Professionalmedian $98 · 10th–90th $45$1740%10%10th90th$98$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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$181.97
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$87.10
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67