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Primary Care Doctor (Family Medicine)

Cost of a Primary Care Doctor (Family Medicine) Visit:
$91-$187

How much does a primary care doctor (family medicine) visit cost? The national median negotiated rate for CPT 99214 is $123, with rates ranging from $91 to $187 across 15,085 providers.

National Median

$123

Low End (P5)

$91

High End (P95)

$187

Providers

15,085

Primary Care Doctor (Family Medicine) Visit Costs by State

Click any state to see detailed primary care doctor (family medicine) visit pricing. Colors represent the median negotiated rate for CPT 99214.

Median Visit Cost

$91
$187

Primary Care Doctor (Family Medicine) Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median primary care doctor (family medicine) visit rate for CPT 99214 (Office/outpatient visit, established patient, moderate complexity).

RankStateAverage
1Nebraska
Range: $91$314
$240
2New Hampshire
Range: $101$282
$212
3Iowa
Range: $80$314
$167
4Maine
Range: $80$255
$204
5Minnesota
Range: $81$313
$91
6Wisconsin
Range: $73$313
$98
7California
Range: $70$250
$140
8Wyoming
Range: $80$251
$125
9Illinois
Range: $77$226
$141
10Massachusetts
Range: $80$271
$80
11Rhode Island
Range: $85$200
$144
12North Dakota
Range: $91$240
$91
13Texas
Range: $70$221
$126
14New Mexico
Range: $80$178
$157
15Vermont
Range: $107$166
$140
16Mississippi
Range: $67$249
$91
17Michigan
Range: $66$249
$88
18South Dakota
Range: $77$239
$80
19Hawaii
Range: $70$239
$85
20New York
Range: $78$200
$115
21Pennsylvania
Range: $73$228
$90
22Louisiana
Range: $69$222
$99
23Colorado
Range: $80$210
$89
24Connecticut
Range: $80$200
$93
25Oregon
Range: $80$204
$87
26Indiana
Range: $80$202
$88
27Ohio
Range: $70$201
$96
28Georgia
Range: $72$188
$106
29South Carolina
Range: $68$216
$80
30Washington
Range: $80$202
$80
31North Carolina
Range: $66$210
$82
32Nevada
Range: $48$182
$124
33Virginia
Range: $60$191
$98
34Arkansas
Range: $70$175
$103
35West Virginia
Range: $80$133
$133
36Florida
Range: $54$200
$91
37Idaho
Range: $75$179
$90
38New Jersey
Range: $53$188
$98
39Missouri
Range: $67$148
$125
40Kansas
Range: $76$158
$105
41Maryland
Range: $49$194
$94
42District of Columbia
Range: $53$199
$85
43Kentucky
Range: $80$170
$80
44Utah
Range: $60$180
$90
45Tennessee
Range: $70$168
$90
46Oklahoma
Range: $70$158
$85
47Arizona
Range: $63$168
$80
48Alabama
Range: $61$160
$80
49Delaware
Range: $58$123
$93
50Alaska
Range: $80$80
$80
51Montana
Range: $80$80
$80

Frequently Asked Questions

How much does a primary care doctor (family medicine) cost without insurance?

The average negotiated rate for a primary care doctor (family medicine) (CPT 99214) is $129 nationally. Rates typically range from $91 to $187 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a primary care doctor (family medicine) cost with insurance?

With insurance, your out-of-pocket cost for a primary care doctor (family medicine) depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $129. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do primary care doctor (family medicine) costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 99214 cover?

CPT 99214 is the billing code for: Office/outpatient visit, established patient, moderate complexity. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a primary care doctor (family medicine)?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 99214 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.