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Office Visit, New Patient (Straightforward)

Kentucky 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?

$66.07

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $45.71 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$66.07$48.98 to $93.33
FacilityA hospital or hospital-owned outpatient department$45.71$37.15 to $54.95

How much rates vary

Facilitymedian $46 · 10th to 90th $32 to $63Professionalmedian $66 · 10th to 90th $38 to $166
$1.0$5.0$20.0$100.0facility $46professional $66

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
$30.90
Median
$43.65
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$67.61
Typical High
$181.97
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$95.50
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$70.79
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$81.28
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
$37.15
Median
$47.86
Typical High
$64.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$112.20
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$46.77
Median
$77.62
Typical High
$85.11

Where Kentucky 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.

Kentucky $66.07 · 35th 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.