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Office Visit, New Patient (Straightforward)

New Jersey 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 New Jersey, 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 $57.54 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$67.61$50.12 to $87.10
FacilityA hospital or hospital-owned outpatient department$57.54$39.81 to $105

How much rates vary

Facilitymedian $58 · 10th to 90th $34 to $275Professionalmedian $68 · 10th to 90th $39 to $151
$10.0$20.0$50.0$100.0$200.0$500.0facility $58professional $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
$31.62
Median
$56.23
Typical High
$354.81
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$154.88
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$81.28
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$70.79
Typical High
$85.11
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$134.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$125.89
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$131.83
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$79.43
Typical High
$107.15

Where New Jersey 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.

New Jersey $67.61 · 32nd 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.