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New Patient Office Visit, Straightforward

South Dakota 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.

How much does New Patient Office Visit, Straightforward cost?

$72.44

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $48.98 to $100.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $89 to $178Professionalmedian $69 · 10th to 90th $41 to $204
$20.0$50.0$100.0$200.0facility $89professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$97.72

Where South Dakota sits

The same service costs 7.2 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $72.44 · 36th of 47
KY $219SC $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.