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Office Visit, New Patient (Straightforward)

Connecticut 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?

$64.57

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $91.20 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$64.57$50.12 to $87.10
FacilityA hospital or hospital-owned outpatient department$91.20$60.26 to $214

How much rates vary

Facilitymedian $91 · 10th to 90th $51 to $257Professionalmedian $65 · 10th to 90th $38 to $141
$1.0$10.0$100.0facility $91professional $65

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
$51.29
Median
$87.10
Typical High
$257.04
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$173.78
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$138.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$67.61
Median
$117.49
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$138.04
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$162.18
Health New England
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$181.97
Health New England
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$144.54
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$79.43
Typical High
$173.78

Where Connecticut 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.

Connecticut $64.57 · 40th 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.