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Office Visit, New Patient (High Complexity)

Alaska rates for HCPCS 99205

An initial, in-depth appointment with a doctor or provider the patient has not seen before, involving a high level of medical decision-making, such as managing multiple serious conditions or health issues that carry significant risk. It's the most involved level of a first-time office visit and typically takes considerably more time than a routine new-patient appointment. It reflects the most complex end of new-patient evaluations.

Rates data updated July 2026.

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

$219

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $245 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$219$162 to $380
FacilityA hospital or hospital-owned outpatient department$245$195 to $339

How much rates vary

Facilitymedian $245 · 10th to 90th $151 to $457Professionalmedian $219 · 10th to 90th $135 to $550
$100$200$500$1Kfacility $245professional $219

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
$95.50
Median
$436.52
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$416.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$177.83
Median
$398.11
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,071.52
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$446.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$323.59
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$389.05
Typical High
$630.96
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$91.20
Median
$213.80
Typical High
$478.63

Where Alaska sits

The same service costs 1.7 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.

Alaska· 23rd of 51

$219

MN $295DE $174

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.