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New Patient Office Visit, Straightforward

Wisconsin 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 $135 · 10th–90th $71$1780%20%10th90th$135Professionalmedian $110 · 10th–90th $51$2090%10%20%10th90th$110$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
Facility
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$87.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$177.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$208.93