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Office Visit, New Patient (Straightforward)

Illinois 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?

$69.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $70.79 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 7 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$69.18$48.98 to $89.13
FacilityA hospital or hospital-owned outpatient department$70.79$42.66 to $115

How much rates vary

Facilitymedian $71 · 10th to 90th $35 to $145Professionalmedian $69 · 10th to 90th $40 to $145
$20.0$50.0$100.0$200.0$500.0facility $71professional $69

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
$34.67
Median
$69.18
Typical High
$144.54
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$154.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$67.61
Typical High
$158.49
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$47.86
Median
$85.11
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$72.44
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$87.10
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$141.25
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$79.43
Typical High
$173.78

Where Illinois 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.

Illinois $69.18 · 26th 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.