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Office Visit, New Patient (Straightforward)

Washington, DC 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 October 2026.

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

$53.70

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $39.81 to $69.18.

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.

How much rates vary

Facilitymedian $71 · 10th to 90th $39 to $178Professionalmedian $54 · 10th to 90th $37 to $87
$50$100$200facility $71professional $54

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$63.10
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$53.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$25.70
Typical High
$35.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.76
Median
$7.76
Typical High
$10.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$5.13
Typical High
$7.08
CareFirst
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$42.66
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$63.10
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$85.11
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$64.57
Typical High
$123.03

Where Washington, DC sits

The same service costs 2.2 times more in Alaska than in New Jersey. 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.

Washington, DC· 46th of 51

$53.70

AK $107NJ $48.98

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.