Cost of a Primary Care Doctor (Family Medicine) Visit
in Alabama
Reviewed by Momentary Medical Group West PC
Alabama consistently ranks among the most affordable states for healthcare services, with Primary Care Doctor (Family Medicine) visits costing approximately 8% below the national average. Patients typically pay between $61 and $160 for a visit, with a median out-of-pocket cost of $80 across Alabama's 237 active Primary Care Doctor (Family Medicine) providers. Browse all providers in Alabama to compare rates and find an in-network specialist near you.
Average
$100
Median
$80
Lowest
$61
Highest
$160
Providers
237
22% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Alabama?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $64 | $80 | $160 | 231 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $69 | $80 | $128 | 40 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Family medicine physicians in Alabama
Dr. Peter Jensen, MD
Family Medicine Physician · Florence, AL
Dr. Donald Klasing, MD
Family Medicine Physician · Huntsville, AL
Dr. Jason Harmon, MD
Family Medicine Physician · Hoover, AL
Dr. Sumpter Blackmon, MD
Family Medicine Physician · Camden, AL
Dr. Anthony Sims, MD
Family Medicine Physician · Henagar, AL
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Alabama
Alabama's Primary Care Doctor (Family Medicine) costs run approximately 8% below the national average, driven by the state's lower cost of living and rural provider distribution. The lack of Medicaid expansion and BCBS Alabama's market dominance create unique pricing dynamics compared to more competitive insurance markets.
Urban vs. Rural Provider Availability
Alabama's rural counties often lack sufficient Primary Care Doctor (Family Medicine) specialists, forcing patients to travel to Birmingham, Montgomery, or Mobile for care. This geographic disparity creates higher relative costs in underserved areas despite nominally lower pricing than urban markets. Telemedicine has helped bridge some access gaps, though in-person visits remain necessary for many conditions.
Facility Type and Overhead Costs
Hospital-based Primary Care Doctor (Family Medicine) clinics in Alabama, particularly those affiliated with UAB Health System or Mobile's USA Health, typically charge facility fees that can double visit costs. Independent practices maintain lower overhead and often provide more transparent pricing for self-pay patients. Ambulatory surgery centers offer a middle ground between hospital and office-based care.
Insurance Market Competition in Alabama
Blue Cross Blue Shield of Alabama's dominant market position limits competitive pressure on negotiated rates with Primary Care Doctor (Family Medicine) providers statewide. The marketplace offers fewer insurer choices than most states, reducing leverage for consumers seeking lower-cost networks. This concentration allows providers to maintain relatively stable pricing but may limit innovation in payment models.
Physician Supply and Demand in Alabama
With 237 active Primary Care Doctor (Family Medicine) providers serving Alabama's 5.2 million residents, the state faces moderate specialist shortages particularly in rural regions. This supply-demand imbalance supports pricing stability but can extend wait times for non-urgent appointments. Medical school graduates from UAB and other regional programs help maintain workforce levels, though many specialists migrate to higher-paying markets after residency.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Alabama.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Alabama
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Alabama without insurance?
Does Alabama Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Alabama?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Alabama?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Alabama?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |