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Office Visit, New Patient (Straightforward)

South Dakota 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?

$70.79

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $75.86 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$70.79$47.86 to $110
FacilityA hospital or hospital-owned outpatient department$75.86$54.95 to $115

How much rates vary

Facilitymedian $76 · 10th to 90th $43 to $166Professionalmedian $71 · 10th to 90th $39 to $170
$50$100$200facility $76professional $71

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
$56.23
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$169.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$45.71
Median
$107.15
Typical High
$177.83
Avera
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$75.86
Avera
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$457.09
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$70.79
Typical High
$186.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$147.91
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$114.82

Where South Dakota sits

The same service costs 1.6 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 20th of 51

$70.79

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.