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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 October 2026.

How much rates vary

Facilitymedian $129 · 10th to 90th $115 to $195Professionalmedian $132 · 10th to 90th $55 to $204
$50$100$200facility $129professional $132

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$128.82
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$75.86
Typical High
$123.03
Medica
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$204.17
Typical High
$204.17