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Office Visit, New Patient (Straightforward)

North Carolina 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?

$77.62

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $74.13 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$77.62$58.88 to $112
FacilityA hospital or hospital-owned outpatient department$74.13$54.95 to $97.72

How much rates vary

Facilitymedian $74 · 10th to 90th $48 to $138Professionalmedian $78 · 10th to 90th $47 to $166
$10.0$20.0$50.0$100.0$200.0$500.0facility $74professional $78

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
$47.86
Median
$75.86
Typical High
$144.54
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$173.78
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$173.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$87.10
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$72.44
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$190.55
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$117.49
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$85.11
Typical High
$114.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09

Where North Carolina 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.

North Carolina $77.62 · 12th 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.