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Office Visit, New Patient (Straightforward)

Maine 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 Maine, 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 $67.61 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$57.54 to $89.13
FacilityA hospital or hospital-owned outpatient department$67.61$58.88 to $182

How much rates vary

Facilitymedian $68 · 10th to 90th $44 to $5,754Professionalmedian $69 · 10th to 90th $43 to $126
$50$200$1K$5Kfacility $68professional $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
$43.65
Median
$66.07
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$141.25
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$5,754.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$162.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$79.43
Typical High
$144.54

Where Maine 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.

Maine· 24th of 51

$69.18

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.