Cost of a Primary Care Doctor (Family Medicine) Visit
in Nebraska
Reviewed by Momentary Medical Group West PC
Nebraska ranks dead last among all states for Primary Care Doctor (Family Medicine) visit affordability, with costs reaching 145% above the national average despite the state's lower overall cost of living. Patients typically pay between $91 and $314 out-of-pocket, with a median cost of $240 across 196 active Primary Care Doctor (Family Medicine) providers statewide. Browse all available providers in Nebraska to compare rates and find care that fits your budget.
Average
$215
Median
$240
Lowest
$91
Highest
$314
Providers
196
67% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Nebraska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $80 | $314 | $314 | 133 |
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 Nebraska
Dr. Roger Rudloff, MD
Family Medicine Physician · Neligh, NE
Dr. Andrea Herman, MD
Family Medicine Physician · Omaha, NE
Dr. Grant Nitzel, MD
Family Medicine Physician · Hastings, NE
Dr. Timothy Sullivan, MD
Family Medicine Physician · Lincoln, NE
Dr. Scott Vonderfecht, MD
Family Medicine Physician · York, NE
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Nebraska
Nebraska's Primary Care Doctor (Family Medicine) costs run approximately 1% below national averages despite ranking poorly for overall affordability, reflecting the state's mixed urban-rural geography and moderate insurance market competition. The concentration of providers in Omaha and Lincoln creates pricing disparities compared to smaller communities across the state's agricultural regions.
Urban vs. Rural Provider Availability
Omaha and Lincoln contain most of Nebraska's 196 Primary Care Doctor (Family Medicine) providers, while rural counties often rely on critical access hospitals or traveling specialists for specialty care. Patients in western Nebraska may drive hours to reach family medicine specialists, creating additional indirect costs beyond the visit fee. Urban practices typically charge higher rates due to increased overhead and patient demand.
Facility Type and Overhead Costs
Hospital-owned family medicine clinics, particularly those affiliated with Nebraska Medicine, CHI Health, and Bryan Health, typically charge 30-50% more than independent practices due to facility fees and administrative overhead. Academic medical centers like the University of Nebraska Medical Center often carry premium pricing for subspecialty family medicine services. Independent practices in smaller communities frequently offer more competitive rates to attract patients.
Insurance Market Competition in Nebraska
The state's insurance landscape includes moderate competition among BCBS Nebraska, UHC, and Aetna, though market concentration varies by region with some rural areas having limited carrier options. This competitive dynamic allows for diverse negotiated rate structures with Primary Care Doctor (Family Medicine) providers across different insurance products. Rural markets sometimes see less aggressive rate negotiations due to limited provider alternatives.
Physician Supply and Demand in Nebraska
With 196 active Primary Care Doctor (Family Medicine) providers serving nearly 2 million residents, Nebraska faces moderate specialist availability compared to national benchmarks, particularly outside metropolitan areas. The relative scarcity of specialists in rural regions can drive up pricing and extend wait times for non-urgent consultations. Urban areas maintain better provider-to-population ratios, fostering price competition among practices.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Nebraska.
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 Nebraska
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Nebraska without insurance?
Does Nebraska Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Nebraska?
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 Nebraska?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Nebraska?
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 |