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Office Visit, New Patient (Straightforward)

Utah 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 Utah, 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 $100 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$77.62$60.26 to $117
FacilityA hospital or hospital-owned outpatient department$100$95.50 to $100

How much rates vary

Facilitymedian $100 · 10th to 90th $55 to $105Professionalmedian $78 · 10th to 90th $44 to $204
$20$50$100$200facility $100professional $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
$54.95
Median
$100.00
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$208.93
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$46.77
Median
$79.43
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$89.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$114.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$123.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$114.82

Where Utah 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.

Utah· 14th of 51

$77.62

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.