Cost of a Primary Care Doctor (Family Medicine) Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona ranks as the most affordable state nationwide for Primary Care Doctor (Family Medicine) visits, with negotiated insurance rates significantly below neighboring states like Nevada and California. Patients typically pay between $63 and $168 for visits, with a median cost of $80 for established patient visits. With 432 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all available options to find quality care that fits their budget.
Average
$104
Median
$80
Lowest
$63
Highest
$168
Providers
432
20% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $65 | $88 | $179 | 452 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $65 | $80 | $154 | 100 |
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 Arizona
Dr. Shayna Mansfield, DO
Family Medicine Physician · Phoenix, AZ
Dr. Raymond Holsten, MD
Family Medicine Physician · Page, AZ
Dr. Graeme Tolson, MD
Family Medicine Physician · Glendale, AZ
Dr. Maude Nielsen, MD
Family Medicine Physician · Fort Defiance, AZ
Dr. Robert Marlow, MD
Family Medicine Physician · Scottsdale, AZ
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Arizona
Arizona's healthcare costs run approximately 5% above the national average, yet the state maintains the lowest Primary Care Doctor (Family Medicine) visit costs nationwide due to competitive insurer markets and efficient provider networks. The state's rapid population growth has attracted numerous healthcare systems, creating downward pressure on pricing.
Urban vs. Rural Provider Availability
The Phoenix and Tucson metropolitan areas concentrate most of Arizona's Primary Care Doctor (Family Medicine) providers, while rural counties like Cochise and Graham face significant provider shortages. This geographic disparity creates higher costs in remote areas where patients may need to travel long distances for specialized family medicine care.
Facility Type and Overhead Costs
Hospital-based family medicine clinics affiliated with Banner Health, Dignity Health, and other major systems often charge facility fees that independent practices do not. Rural Arizona has seen growth in federally qualified health centers that offer Primary Care Doctor (Family Medicine) services at reduced rates for uninsured and underinsured patients.
Insurance Market Competition in Arizona
Strong competition among UnitedHealthcare, Blue Cross Blue Shield of Arizona, and Aetna has created favorable negotiated rates for Primary Care Doctor (Family Medicine) services compared to neighboring states. Arizona's relatively open insurance regulations have encouraged market entry and rate competition, benefiting consumers through lower out-of-pocket costs.
Physician Supply and Demand in Arizona
With 432 active Primary Care Doctor (Family Medicine) providers statewide, Arizona maintains adequate specialist supply in urban areas while facing shortages in rural regions. The state's growing retiree population has increased demand for family medicine services, though expanded residency programs at University of Arizona and other institutions are helping address supply constraints.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Arizona.
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 Arizona
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Arizona without insurance?
Does Arizona Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Arizona?
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 Arizona?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Arizona?
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 |