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Office Visit, New Patient (High Complexity)

Minnesota 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?

$295

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $214 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$295$191 to $490
FacilityA hospital or hospital-owned outpatient department$214$155 to $427

How much rates vary

Facilitymedian $214 · 10th to 90th $135 to $813Professionalmedian $295 · 10th to 90th $151 to $646
$100$200$500$1Kfacility $214professional $295

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
$125.89
Median
$162.18
Typical High
$489.78
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$125.89
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$616.60
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$316.23
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$331.13
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$645.65
BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$380.19
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$776.25
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$1,698.24
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$549.54
Typical High
$724.44
Medica
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$389.05
Median
$575.44
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$363.08
Typical High
$588.84
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$89.13
Typical High
$338.84

Where Minnesota 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.

Minnesota· 1st of 51

$295

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.