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Office Visit, New Patient (Straightforward)

Maryland 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?

$67.61

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $81.28 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$66.07$50.12 to $91.20
FacilityA hospital or hospital-owned outpatient department$81.28$50.12 to $158

How much rates vary

Facilitymedian $81 · 10th to 90th $37 to $195Professionalmedian $66 · 10th to 90th $39 to $148
$50$100$200facility $81professional $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
$37.15
Median
$81.28
Typical High
$194.98
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$151.36
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$93.33
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$123.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$85.11
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$114.82

Where Maryland sits

The same service costs 1.6 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 27th of 51

$67.61

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.