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Office Visit, New Patient (Straightforward)

West 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?

$70.79

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $66.07 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$70.79$50.12 to $102
FacilityA hospital or hospital-owned outpatient department$66.07$48.98 to $74.13

How much rates vary

Facilitymedian $66 · 10th to 90th $35 to $81Professionalmedian $71 · 10th to 90th $37 to $148
$20.0$50.0$100.0$200.0facility $66professional $71

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
$35.48
Median
$69.18
Typical High
$81.28
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$70.79
Typical High
$151.36
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$50.12
Median
$81.28
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$363.08
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$194.98
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$70.79
Median
$77.62
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$100.00
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$100.00
Typical High
$114.82

Where West 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.

West Virginia $70.79 · 21st 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.