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Office Visit, New Patient (Straightforward)

Arizona 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?

$69.18

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $70.79 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 6 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$69.18$51.29 to $97.72
FacilityA hospital or hospital-owned outpatient department$70.79$46.77 to $138

How much rates vary

Facilitymedian $71 · 10th to 90th $37 to $251Professionalmedian $69 · 10th to 90th $39 to $182
$5$20$100$500facility $71professional $69

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
$27.54
Median
$154.88
Typical High
$912.01
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$16.60
Median
$933.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$181.97
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$85.11
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$70.79
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$107.15
Medica
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$457.09
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$162.18
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$79.43
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$120.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$77.62
Typical High
$144.54

Where Arizona 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.

Arizona· 25th of 51

$69.18

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.