go back

Office Visit, New Patient (Moderate Complexity)

California 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?

$191

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $170 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 15 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$191$155 to $282
FacilityA hospital or hospital-owned outpatient department$170$145 to $214

How much rates vary

Facilitymedian $170 · 10th to 90th $120 to $302Professionalmedian $191 · 10th to 90th $123 to $525
$50$100$200$500facility $170professional $191

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
$123.03
Median
$169.82
Typical High
$363.08
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$162.18
Median
$389.05
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$524.81
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$107.15
Median
$199.53
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$251.19
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$134.90
Median
$173.78
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$302.00
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$87.10
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$323.59
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$257.04
HealthNet
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$616.60
HealthNet
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$194.98
Median
$194.98
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$309.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$239.88
Optum
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$363.08
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$331.13
Typical High
$426.58
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$141.25
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$309.03
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$131.83
Typical High
$251.19

Where California 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.

California· 5th of 51

$191

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.