go back

Office Visit, New Patient (Straightforward)

Alabama rates for HCPCS 99202

A first-time appointment with a doctor or provider the patient has not seen before, used for simple, low-complexity concerns that don't require extensive evaluation. It typically involves gathering a basic health history along with addressing the reason for the visit. It's the most basic level among standard new-patient office visits.

Rates data updated July 2026.

How much does Office Visit, New Patient (Straightforward) cost?

$57.54

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $48.98 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$43.65 to $72.44
FacilityA hospital or hospital-owned outpatient department$48.98$38.02 to $79.43

How much rates vary

Facilitymedian $49 · 10th to 90th $29 to $135Professionalmedian $58 · 10th to 90th $35 to $91
$50$100$200facility $49professional $58

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$91.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$75.86
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$70.79
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$102.33
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$79.43
Typical High
$85.11

Where Alabama sits

The same service costs 1.6 times more in Minnesota than in Alabama. 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.

Alabama· 51st of 51

$57.54

MN $91.20AL $57.54

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.