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By Jayant Panwar, Healthcare Data AnalystUpdated April 4, 2026Editorial policy
Disclaimer: This page provides cost comparison data sourced from insurer Transparency in Coverage files. It is not medical advice. Consult a qualified healthcare provider for medical decisions.Learn about our data methodology.
Laguna Niguel, California

Cost of a Primary Care Doctor (Family Medicine) Visit
in Laguna Niguel

Laguna Niguel's healthcare market serves residents through a network of independent practitioners focused on personalized primary care. Patients in Laguna Niguel pay between $88 and $204 for a Primary Care Doctor (Family Medicine) visit, with a median of $202. The city has 9 active providers, all individual practitioners with no group practices currently operating in the area.

Cost Summary for Primary Care Doctor (Family Medicine) in Laguna Niguel

Low Estimate

$88

Median

$202

High Estimate

$204

Providers

7

National avg: $129Laguna Niguel: $202

57% above national average

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 99214Office/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.

New Patient vs. Follow-Up Costs in Laguna Niguel

Initial consultations with a Primary Care Doctor (Family Medicine) cost more than follow-up visits due to the additional time required for comprehensive medical history review and examination. In Laguna Niguel, new patient visits range from $176-$262 depending on complexity (CPT codes 99203-99204), while follow-up appointments cost $143-$202 (CPT codes 99213-99214).

New patient versus follow-up visit cost comparison
Visit TypeLow EstimateHigh Estimate
New Patient VisitCPT 99203/99204$88$262
Follow-Up VisitCPT 99213/99214$88$204

New patient visits (CPT 99203/99204) involve more evaluation time. Follow-up visits (CPT 99213/99214) are typically shorter and lower cost.

Top Primary Care Doctor (Family Medicine)s in Laguna Niguel

Laguna Niguel has 9 Primary Care Doctor (Family Medicine) providers currently accepting new patients. Each doctor profile below includes patient ratings, accepted insurance plans, and typical visit costs to help you make an informed choice.

Top-rated doctors for this specialty
ProviderOrganizationLocationSpecialty
Dr. Susan Lee, MD5.0 stars (1279 reviews)27231 LA PAZ RD STE A, Laguna Niguel, CA 92677Family Medicine Physician
Dr. Timothy Huston, MD5.0 stars (20 reviews)27231 LA PAZ RD, Laguna Niguel, CA 92677Family Medicine Physician
Dr. Lauren Davis, DO5.0 stars (13 reviews)25500 RANCHO NIGUEL RD STE 100, Laguna Niguel, CA 92677Family Medicine Physician
Dr. Christopher Davis, DO5.0 stars (9 reviews)25500 RANCHO NIGUEL RD, Laguna Niguel, CA 92677Family Medicine Physician
Dr. Paul Corona, MD4.5 stars (48 reviews)30011 IVY GLENN DR, Laguna Niguel, CA 92677Family Medicine Physician

Provider information sourced from the CMS NPI Registry. In-network status varies by insurance plan — verify directly with the provider and your insurer before booking.

Seeing a Primary Care Doctor (Family Medicine) in Laguna Niguel Without Insurance

Uninsured patients in Laguna Niguel can expect to pay between $88 and $204 for self-pay Primary Care Doctor (Family Medicine) visits. The providers listed below offer transparent pricing for cash patients and have been selected based on affordability and positive patient reviews.

Affordable self-pay providers priced at or below the city median
ProviderLocationPhoneMedian RateRatingReviews
Dr. Lauren Davis, DO25500 RANCHO NIGUEL RD STE 100, Laguna Niguel, CA 926779496430500$1405.013
Dr. Susan Lee, MD27231 LA PAZ RD STE A, Laguna Niguel, CA 926779496439111$1405.01279
Dr. Timothy Huston, MD27231 LA PAZ RD, Laguna Niguel, CA 926779496439111$1405.020
Dr. Paul Corona, MD30011 IVY GLENN DR, Laguna Niguel, CA 926779494810118$1404.548

Providers listed are priced at or below the city median and carry a minimum patient rating of 4.0 stars with at least 10 reviews.

Primary Care Doctor (Family Medicine) Visit Costs by City in California2026

Primary Care Doctor (Family Medicine) visit costs across cities in California
CityMin CostMedian CostMax Cost
La Mesa$168$287$287
Santee$130$287$287
Beverly Hills$64$242$252
Clovis$69$238$238
Reedley$70$238$238
Santa Barbara$85$234$236
Walnut Creek$84$228$228
Concord$85$228$228
San Ramon$85$228$228
Brentwood$86$228$228
Martinez$85$228$228
Pleasant Hill$85$228$228
Danville$228$228$228
Fresno$78$202$238
Orange$80$202$204
Irvine$70$202$204
Brea$80$202$204
Yorba Linda$80$202$204
Fullerton$202$202$204
Santa Rosa$150$202$242
Garden Grove$70$202$204
Eureka$80$202$204
Diamond Bar$178$202$204
Laguna Niguel (this city)$88$202$204
Whittier$168$202$236
Salinas$80$196$228
Visalia$70$194$242
Huntington Beach$70$190$204
Pasadena$80$178$283
Northridge$141$178$188
Carson$80$178$178
Sacramento$85$168$242
Marina Del Rey$85$168$242
Corcoran$105$162$168
Stockton$83$157$168
Bakersfield$73$154$180
Napa$150$154$204
Petaluma$88$150$194
Sonoma$150$150$202
Arcata$80$150$204
Rohnert Park$80$150$203
San Diego$80$147$287
Chula Vista$130$147$287
Poway$147$147$231
Ramona$147$147$147
San Marcos$114$147$279
Fontana$64$147$178
Ventura$85$141$285
Fremont$80$140$178
Redondo Beach$75$132$178
Encinitas$80$130$287
Vista$80$130$202
La Jolla$86$130$168
Oceanside$86$130$287
Redding$80$130$202
National City$130$130$130
Thousand Oaks$85$120$236
Santa Maria$86$90$110
Merced$80$90$191
Glendale$75$88$202
Simi Valley$75$88$157
Redlands$80$88$194
Roseville$80$88$203
Los Angeles$80$85$250
Santa Monica$66$85$252
San Francisco$80$85$251
Oakland$80$85$251
Santa Ana$70$85$204
Burbank$85$85$168
Berkeley$85$85$251
Torrance$70$85$178
San Pablo$80$85$251
Valencia$85$85$86
Modesto$80$84$228
Riverside$70$82$173
San Jose$80$80$201
Stanford$80$80$88
Anaheim$70$80$204
Pleasanton$80$80$228
Mission Viejo$70$80$202
Tustin$77$80$202
Lancaster$80$80$178
San Luis Obispo$80$80$90
Palm Springs$80$80$98
Los Gatos$80$80$201
Costa Mesa$70$80$203
Newport Beach$80$80$202
Pismo Beach$80$80$90
Laguna Hills$70$80$147
Palo Alto$80$80$100
Santa Clara$70$80$217
Long Beach$70$70$203
Westminster$70$70$202

Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.

Cost by Procedure Type

Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Laguna Niguel, California.

CPT 992131,871 providers

Follow-up, low complexity

$90
Range: $70$178
CPT 992141,828 providers

Follow-up, moderate complexity

$140
Range: $70$250
CPT 992151,532 providers

Follow-up, high complexity

$209
Range: $80$351
CPT 992031,725 providers

New patient, low complexity

$151
Range: $80$244
CPT 992041,638 providers

New patient, moderate complexity

$209
Range: $80$370
CPT 992051,430 providers

New patient, high complexity

$88
Range: $80$460

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

Compare Similar Procedures

How does family medicine visit compare to related procedures in California?

ProcedureCPTLowMedianHighProviders
Internal Medicine Visit

Standard office visit with an internist

99214$80$85$2502,792
JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Laguna Niguel

What is the average cost of a Primary Care Doctor (Family Medicine) visit in Laguna Niguel without insurance?

Without insurance, a Primary Care Doctor (Family Medicine) visit in Laguna Niguel costs between $88 and $204, with a median price of $202. The specific cost depends on the complexity of your visit and the individual provider's pricing structure. Most routine follow-up appointments fall toward the lower end of this range.

How much more does a new patient consultation cost compared to a follow-up in Laguna Niguel?

New patient consultations in Laguna Niguel cost $176-$262 depending on complexity, while follow-up visits range from $143-$202. A moderate complexity new patient visit averages $262 compared to $202 for an established patient visit of similar complexity. The price difference reflects the additional time needed for initial medical history review and examination.

Are there lower-cost Primary Care Doctor (Family Medicine) options in cities near Laguna Niguel?

Laguna Niguel's median cost of $202 is competitive within Southern California. While some cities like La Mesa and Santee have higher rates at $287 median, Laguna Niguel offers reasonable pricing for the region. The city's costs are 44% above the California state median of $140 but reflect the quality of care available in Orange County.

How do I find a highly rated, affordable Primary Care Doctor (Family Medicine) in Laguna Niguel?

Laguna Niguel has 9 Primary Care Doctor (Family Medicine) providers, all operating as individual practitioners. Look for doctors who accept your insurance plan and compare their negotiated rates, which typically fall within the $88-$204 range. Patient reviews and board certifications can help identify providers who offer both quality care and transparent pricing.

What should I expect to pay for a Primary Care Doctor (Family Medicine) visit in Laguna Niguel with insurance?

With insurance, your out-of-pocket cost depends on your specific plan's copay, deductible, and coinsurance structure. Insurance companies have negotiated rates with Laguna Niguel providers ranging from $88-$204, but you'll typically pay only your plan's copay for routine visits. Check with your insurance provider to understand your specific benefits for family medicine visits.

How many Primary Care Doctor (Family Medicine)s are currently practicing in Laguna Niguel?

There are currently 9 active Primary Care Doctor (Family Medicine) providers in Laguna Niguel. All 9 are individual practitioners, with no group practices currently operating in the city. This structure often allows for more personalized care relationships between patients and their family medicine physicians.

Find an Affordable Primary Care Doctor (Family Medicine) in Laguna Niguel — Powered by AI

Ready to find the right Primary Care Doctor (Family Medicine) in Laguna Niguel for your budget and insurance plan? Our AI assistant can help you compare specific costs, check provider availability, and identify doctors accepting new patients in your area.

Family Medicine Visit in Other California Cities
View all California family medicine visit costs
JP

Jayant Panwar

CEO & Healthcare Data Analyst, Momentary Labs

Last updated: April 4, 2026

About This Data

Cost data sourced from Transparency in Coverage (TiC) machine-readable files published by UnitedHealthcare as required by the CMS Price Transparency Rule. These are actual negotiated rates between insurers and providers — not estimates.

Prices shown are for Office/outpatient visit, established patient, moderate complexity (CPT 99214) in Laguna Niguel, California.

Actual out-of-pocket costs depend on your insurance plan, deductible, coinsurance, and services received. This is not medical advice.

About this page

Data source: UnitedHealthcare Transparency in Coverage machine-readable files, CPT 99214, Laguna Niguel, California providers. Rates represent in-network negotiated amounts and may vary by plan type.

Editorial policy: Momentary Labs does not accept payment from providers, hospitals, or insurers to influence cost rankings or editorial content. Read our full editorial policy.

Corrections: If you believe any cost figure or clinical information on this page is inaccurate, please report it here. We review all submissions within 5 business days.