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Office Visit, New Patient (Straightforward)

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $61.66 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 8 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$67.61$50.12 to $89.13
FacilityA hospital or hospital-owned outpatient department$61.66$48.98 to $74.13

How much rates vary

Facilitymedian $62 · 10th to 90th $42 to $93Professionalmedian $68 · 10th to 90th $39 to $141
$20.0$50.0$100.0$200.0$500.0facility $62professional $68

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
$41.69
Median
$61.66
Typical High
$91.20
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$45.71
Median
$79.43
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$147.91
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$85.11
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$70.79
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$83.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$138.04
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$87.10
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$102.33
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$147.91
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$85.11
Typical High
$173.78

Where Michigan 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.

Michigan $67.61 · 30th 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.