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New Patient Office Visit, Straightforward

Texas 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?

$209

Typical physician fee. In Texas, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $178 to $209.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $178 · 10th to 90th $178 to $178Professionalmedian $209 · 10th to 90th $209 to $209
$50.0$100.0$200.0facility $178professional $209

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$102.33
Typical High
$181.97
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$39.81

Where Texas 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.

Texas $209 · 4th 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.