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Office Visit, New Patient (Straightforward)

Virginia 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 Virginia, 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 $69.18 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$66.07$51.29 to $87.10
FacilityA hospital or hospital-owned outpatient department$69.18$52.48 to $87.10

How much rates vary

Facilitymedian $69 · 10th to 90th $43 to $115Professionalmedian $66 · 10th to 90th $39 to $120
$1.0$10.0$100.0$1.0Kfacility $69professional $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
$60.26
Typical High
$104.71
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$117.49
Median
$134.90
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$64.57
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$46.77
Median
$85.11
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$131.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$131.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$120.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$147.91
Sentara
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$57.54
Typical High
$93.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$97.72
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$128.82
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$79.43
Typical High
$100.00

Where Virginia 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.

Virginia $66.07 · 37th 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.