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Office Visit, New Patient (Straightforward)

Idaho 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?

$83.18

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $77.62 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$83.18$61.66 to $120
FacilityA hospital or hospital-owned outpatient department$77.62$58.88 to $107

How much rates vary

Facilitymedian $78 · 10th to 90th $45 to $129Professionalmedian $83 · 10th to 90th $44 to $200
$10.0$20.0$50.0$100.0$200.0$500.0facility $78professional $83

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
$54.95
Median
$102.33
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$218.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$93.33
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$131.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$131.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$72.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$138.04
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$173.78

Where Idaho 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.

Idaho $83.18 · 6th 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.