go back

Office Visit, New Patient (Straightforward)

Oregon 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?

$85.11

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $97.72 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$85.11$61.66 to $126
FacilityA hospital or hospital-owned outpatient department$97.72$69.18 to $141

How much rates vary

Facilitymedian $98 · 10th to 90th $50 to $148Professionalmedian $85 · 10th to 90th $45 to $195
$1.0$10.0$100.0facility $98professional $85

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
$58.88
Median
$114.82
Typical High
$181.97
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$181.97
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$204.17
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$93.33
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$177.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$173.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$144.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$141.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$173.78
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$52.48
Median
$79.43
Typical High
$114.82

Where Oregon 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.

Oregon $85.11 · 3rd 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.