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Office Visit, New Patient (Straightforward)

Washington 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?

$81.28

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $83.18 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 11 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$81.28$60.26 to $117
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $112

How much rates vary

Facilitymedian $83 · 10th to 90th $47 to $151Professionalmedian $81 · 10th to 90th $44 to $195
$10.0$20.0$50.0$100.0$200.0$500.0facility $83professional $81

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
$53.70
Median
$87.10
Typical High
$173.78
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$186.21
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$199.53
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$97.72
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$61.66
Median
$81.28
Typical High
$141.25
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$169.82
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$77.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$144.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$177.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$162.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$60.26
Median
$79.43
Typical High
$144.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$104.71

Where Washington 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.

Washington $81.28 · 9th 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.