go back

New Patient Office Visit, Straightforward

Pennsylvania 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 $34 · 10th–90th $34$400%50%90th$34Professionalmedian $36 · 10th–90th $32$720%20%10th90th$36$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$181.97
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$39.81
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$53.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$91.20