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New Patient Office Visit, Straightforward

North Carolina 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.

How much does New Patient Office Visit, Straightforward cost?

$47.86

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $42.66 to $72.44.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $178 · 10th to 90th $178 to $178Professionalmedian $48 · 10th to 90th $32 to $95
$50$100facility $178professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$208.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$61.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where North Carolina sits

The same service costs 7.2 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 42nd of 47

$47.86

KY $219SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.