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New Patient Office Visit, Low Complexity

North Dakota rates for HCPCS 99203

This covers an office visit with a doctor or other provider for a patient who hasn't been seen by that practice, or a same-specialty colleague, within the past three years, involving a straightforward degree of medical decision-making. It's a moderate step up from the most basic new-patient check-in, but simpler than a visit for a complicated or multiple-problem case. How straightforward or involved the visit is depends on either the complexity of the medical decisions made or, alternatively, the total time the provider spends with the patient that day.

Rates data updated July 2026.

How much does New Patient Office Visit, Low Complexity cost?

$120

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $91.20 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 4 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$120$91.20 to $191
FacilityA hospital or hospital-owned outpatient department$91.20$74.13 to $129

How much rates vary

Facilitymedian $91 · 10th to 90th $54 to $138Professionalmedian $120 · 10th to 90th $72 to $275
$50$100$200$500facility $91professional $120

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
$79.43
Typical High
$134.90
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$275.42
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$66.07
Median
$131.83
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$512.86
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$223.87
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$245.47
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$134.90
Typical High
$269.15

Where North Dakota sits

The same service costs 1.5 times more in Minnesota than in Delaware. 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.

North Dakota· 11th of 51

$120

MN $138DE $89.13

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.