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New Patient Office Visit, Straightforward

Montana 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 $37 · 10th to 90th $36 to $60Professionalmedian $72 · 10th to 90th $41 to $129
$50$100facility $37professional $72

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$72.44
Typical High
$128.82
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$37.15
Typical High
$60.26