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Office Visit, New Patient (Straightforward)

Tennessee 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?

$66.07

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $67.61 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$66.07$52.48 to $87.10
FacilityA hospital or hospital-owned outpatient department$67.61$54.95 to $112

How much rates vary

Facilitymedian $68 · 10th to 90th $48 to $302Professionalmedian $66 · 10th to 90th $41 to $129
$20.0$50.0$100.0$200.0$500.0facility $68professional $66

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
$38.90
Median
$57.54
Typical High
$117.49
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$128.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$100.00
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$56.23
Median
$70.79
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$117.49
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$457.09
Optum
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$77.62
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$70.79
Typical High
$117.49
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$79.43
Typical High
$85.11

Where Tennessee 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.

Tennessee $66.07 · 34th 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.