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Office Visit, New Patient (Straightforward)

Indiana 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 negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $51.29 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 6 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$58.88$43.65 to $77.62
FacilityA hospital or hospital-owned outpatient department$51.29$37.15 to $70.79

How much rates vary

Facilitymedian $51 · 10th to 90th $30 to $129Professionalmedian $59 · 10th to 90th $35 to $100
$1.0$5.0$20.0$100.0$500.0facility $51professional $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
$29.51
Median
$51.29
Typical High
$128.82
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$263.03
Median
$263.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$57.54
Typical High
$97.72
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$89.13
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$70.79
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$117.49
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Indiana 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.

Indiana $58.88 · 48th 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.