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New Patient Office Visit, Straightforward

Virginia 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 $47 · 10th–90th $35$1020%10%20%10th90th$47$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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$69.18
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$53.70