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Office Visit, New Patient (Straightforward)

Vermont 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?

$83.18

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 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 5 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$83.18$67.61 to $120
FacilityA hospital or hospital-owned outpatient department$67.61$56.23 to $79.43

How much rates vary

Facilitymedian $68 · 10th to 90th $48 to $87Professionalmedian $83 · 10th to 90th $55 to $269
$50$100$200facility $68professional $83

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$269.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$75.86
Median
$112.20
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$114.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$186.21
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$85.11

Where Vermont 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.

Vermont· 5th of 51

$83.18

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.