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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 October 2026.

How much does New Patient Office Visit, Straightforward cost?

$53.70

Typical physician fee. In North Carolina, October 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $42.66 to $77.62.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $54 · 10th to 90th $38 to $89
$50$100professional $54

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$83.18
Typical High
$144.54
Medcost
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$45.71
Typical High
$51.29
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$39.81

Where North Carolina sits

The same service costs 6.9 times more in Texas 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· 35th of 46

$53.70

TX $209SC $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.