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Office Visit, New Patient (Straightforward)

Iowa 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?

$81.28

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $83.18 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$79.43$58.88 to $129
FacilityA hospital or hospital-owned outpatient department$83.18$61.66 to $112

How much rates vary

Facilitymedian $83 · 10th to 90th $43 to $174Professionalmedian $79 · 10th to 90th $41 to $200
$10.0$20.0$50.0$100.0$200.0$500.0facility $83professional $79

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
$95.50
Typical High
$190.55
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$97.72
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$93.33
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$457.09
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$107.15
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$204.17
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$91.20
Typical High
$295.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$154.88
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$79.43
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$102.33

Where Iowa 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.

Iowa $81.28 · 10th 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.