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Office Visit, New Patient (Straightforward)

Colorado 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?

$63.10

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $77.62 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 7 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$61.66$47.86 to $81.28
FacilityA hospital or hospital-owned outpatient department$77.62$57.54 to $97.72

How much rates vary

Facilitymedian $78 · 10th to 90th $44 to $135Professionalmedian $62 · 10th to 90th $37 to $120
$1.0$5.0$20.0$100.0$500.0facility $78professional $62

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
$42.66
Median
$79.43
Typical High
$208.93
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$87.10
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$128.82
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$120.23
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$218.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$154.88
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$144.54
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$85.11
Typical High
$173.78

Where Colorado sits

The same service costs 1.6 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $63.10 · 44th of 51
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.