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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 October 2026.

How much does New Patient Office Visit, Straightforward cost?

$45.71

Typical physician fee. In Virginia, October 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $45.71 to $51.29.

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

Professionalmedian $46 · 10th to 90th $35 to $58
$50$100professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$44.67
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$72.44
Typical High
$128.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$69.18
Typical High
$165.96
Medcost
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$45.71
Typical High
$51.29

Where Virginia sits

The same service costs 6.9 times more in Texas than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 39th of 46

$45.71

TX $209SC $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.