New Patient Office Visit, Straightforward

New Jersey 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

Professionalmedian $49 · 10th to 90th $49 to $66

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $128.82	Professional	None	$44.67	$72.44	$128.82
Horizon BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07	Professional	None	$48.98	$48.98	$66.07