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Office Visit, New Patient (Straightforward)

Delaware 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 physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $42.66 to $72.44.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $58 · 10th to 90th $38 to $126Professionalmedian $59 · 10th to 90th $37 to $87
$50$100$200facility $58professional $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
$38.02
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$85.11
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$89.13
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$114.82
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$234.42
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$69.18
Median
$74.13
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$107.15
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Delaware 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.

Delaware· 49th of 51

$58.88

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.