Cost of a Primary Care Doctor (Family Medicine) Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut ranks #26 out of 51 states for Primary Care Doctor (Family Medicine) visit costs, positioning it in the middle tier nationwide despite being home to several major insurance headquarters. Patients in Connecticut typically pay between $80 and $200 for Primary Care Doctor (Family Medicine) visits, with a median out-of-pocket cost of $93 based on negotiated insurance rates. The state maintains 58 active Primary Care Doctor (Family Medicine) providers across urban centers like Hartford and smaller communities, allowing patients to browse all providers in Connecticut to find the best match for their healthcare needs.
Average
$124
Median
$93
Lowest
$80
Highest
$200
Providers
58
4% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $93 | $202 | 158 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $93 | $93 | $207 | 25 |
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 Connecticut
Dr. Dennis Williams, MD
Family Medicine Physician · Bridgeport, CT
Dr. Charles Masserman, MD
Family Medicine Physician · Meriden, CT
Dr. John Monroe, MD
Family Medicine Physician · New London, CT
Dr. Adriel Kramer, MD
Family Medicine Physician · Middletown, CT
Dr. Anna Jamrozik, MD
Family Medicine Physician · Norwalk, CT
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Connecticut
Connecticut's healthcare costs run approximately 14% above the national average, driven by the state's high cost of living and concentration of specialty medical centers along the I-95 corridor. The state's small geographic footprint creates less variation between urban and rural pricing compared to larger states, though proximity to New York's expensive healthcare market influences northern Connecticut rates.
Urban vs. Rural Provider Availability
Connecticut's dense population centers around Hartford, New Haven, and Bridgeport support multiple Primary Care Doctor (Family Medicine) options, while rural areas in the state's northwest and eastern regions may have limited choices. Urban practices often operate with higher overhead costs due to real estate prices but benefit from higher patient volumes that can support more efficient operations. Rural family medicine practices may charge less but face challenges maintaining profitability with smaller patient panels.
Facility Type and Overhead Costs
Major health systems like Yale New Haven Health and Hartford HealthCare dominate Connecticut's healthcare landscape, operating many Primary Care Doctor (Family Medicine) practices as hospital-affiliated clinics. These hospital-owned practices typically charge higher rates due to facility fees and administrative overhead compared to independent family medicine offices. Private practice physicians face increasing pressure to join larger systems, which can affect pricing and availability of direct-pay arrangements.
Insurance Market Competition in Connecticut
Connecticut's insurance market shows moderate concentration with Anthem, Cigna, and UHC holding significant market share, creating adequate competition for negotiated rates with Primary Care Doctor (Family Medicine) providers. The state's small size allows insurers to build comprehensive networks more easily than in larger states, though this can also limit provider leverage in rate negotiations. Connecticut's insurance department actively regulates rate increases, which can constrain dramatic year-over-year pricing changes for medical services.
Physician Supply and Demand in Connecticut
With 58 active Primary Care Doctor (Family Medicine) providers serving the state's 3.6 million residents, Connecticut maintains adequate but not abundant specialist availability in this field. The state's physician-to-population ratio exceeds the national average overall, though family medicine specifically faces workforce challenges as more medical graduates choose specialized fields. Limited residency positions in family medicine create ongoing supply constraints that support higher pricing power for established providers.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Connecticut.
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 Connecticut
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Connecticut without insurance?
Does Connecticut Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Connecticut?
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 |
