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New Patient Office Visit, Low Complexity

Rhode Island 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 October 2026.

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

$107

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $178 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$81.28 to $117
FacilityA hospital or hospital-owned outpatient department$178$132 to $219

How much rates vary

Facilitymedian $178 · 10th to 90th $95 to $251Professionalmedian $107 · 10th to 90th $78 to $138
$100$200facility $178professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$107.15
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$44.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.75
Median
$13.18
Typical High
$16.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.76
Median
$8.91
Typical High
$10.72
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$186.21
Typical High
$295.12
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$107.15
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$134.90

Where Rhode Island sits

The same service costs 2.3 times more in Alaska 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.

Rhode Island· 18th of 51

$107

AK $170AL $74.13

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.