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Office Visit, New Patient (Moderate Complexity)

Alaska rates for HCPCS 99204

An initial appointment with a doctor or provider the patient has not seen before, involving a moderate level of medical decision-making, such as reviewing several health concerns or evaluating a condition that needs a closer look. First visits like this typically involve more time than a follow-up because the provider is building a full picture of the patient's health history for the first time. It reflects a meaningful step up in complexity from the most basic new-patient visit.

Rates data updated July 2026.

How much does Office Visit, New Patient (Moderate Complexity) cost?

$174

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $195 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 6 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$170$129 to $288
FacilityA hospital or hospital-owned outpatient department$195$151 to $269

How much rates vary

Facilitymedian $195 · 10th to 90th $112 to $380Professionalmedian $170 · 10th to 90th $100 to $417
$100$200$500facility $195professional $170

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
$194.98
Median
$323.59
Typical High
$501.19
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$87.10
Median
$223.87
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$812.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$309.03
Typical High
$489.78
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$89.13
Typical High
$371.54

Where Alaska sits

Rates are fairly even across states for this service. 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.

Alaska· 20th of 51

$174

MN $200DC $135

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.