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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.

Facilitymedian $178 · 10th–90th $178$1780%50%100%$178Professionalmedian $48 · 10th–90th $32$950%10%10th90th$48$20.0$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. Need provider-level prices? Contact us.

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