go back

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 July 2026.

Professionalmedian $50 · 10th–90th $42$810%20%10th90th$50$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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$181.97
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67