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Office Visit, New Patient (Straightforward)

Georgia 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?

$67.61

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $66.07 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 8 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$67.61$54.95 to $93.33
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $195

How much rates vary

Facilitymedian $66 · 10th to 90th $42 to $355Professionalmedian $68 · 10th to 90th $42 to $148
$1.0$10.0$100.0$1.0Kfacility $66professional $68

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
$41.69
Median
$66.07
Typical High
$354.81
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$229.09
Median
$281.84
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$154.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$81.28
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$72.44
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$63.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$134.90
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$354.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$125.89
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$79.43
Typical High
$144.54

Where Georgia 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.

Georgia $67.61 · 29th 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.