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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 July 2026.

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

$58.88

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $129 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$58.88$43.65 to $74.13
FacilityA hospital or hospital-owned outpatient department$129$93.33 to $145

How much rates vary

Facilitymedian $129 · 10th to 90th $69 to $170Professionalmedian $59 · 10th to 90th $37 to $87
$20.0$50.0$100.0$200.0$500.0facility $129professional $59

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
$69.18
Median
$128.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$57.54
Typical High
$85.11
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$81.28
Typical High
$138.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$141.25
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$144.54
Typical High
$173.78

Where Washington, DC 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.

Washington, DC $58.88 · 47th 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.