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Office Visit, New Patient (Straightforward)

Montana 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?

$81.28

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $85.11 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$81.28$61.66 to $117
FacilityA hospital or hospital-owned outpatient department$85.11$69.18 to $120

How much rates vary

Facilitymedian $85 · 10th to 90th $51 to $129Professionalmedian $81 · 10th to 90th $44 to $200
$50.0$100.0$200.0$500.0facility $85professional $81

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
$114.82
Median
$114.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$85.11
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$138.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$128.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$128.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$134.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$83.18
Typical High
$85.11

Where Montana 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.

Montana $81.28 · 7th 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.