Cost of a Primary Care Doctor (Family Medicine) Visit
in Tennessee
Reviewed by Momentary Medical Group West PC
Tennessee's healthcare system operates without Medicaid expansion, limiting coverage options for approximately 280,000 adults while serving patients through 142 active Primary Care Doctor (Family Medicine) providers statewide. Based on insurer negotiated rates, patients typically pay between $70 and $168 for family medicine visits, with a median out-of-pocket cost of $90—running about 4% below national averages. Browse all Primary Care Doctor (Family Medicine) providers in Tennessee to compare costs and find in-network options that fit your budget.
Average
$109
Median
$90
Lowest
$70
Highest
$168
Providers
142
15% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Tennessee?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $73 | $100 | $173 | 139 |
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 Tennessee
Dr. James Anderson, MD
Family Medicine Physician · Kingston Springs, TN
Dr. Kenneth Dodge, MD
Family Medicine Physician · Franklin, TN
Dr. Christopher Witherspoon, MD
Family Medicine Physician · Memphis, TN
John Baltz, FNP
Family Medicine Physician · Nashville, TN
Dr. Celeste Peterson, DO
Family Medicine Physician · Mountain City, TN
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Tennessee
Tennessee's healthcare costs run approximately 4% below national averages, reflecting the state's lower cost of living and competitive provider market across major metropolitan areas like Nashville, Memphis, and Knoxville. The absence of Medicaid expansion creates unique market dynamics where providers must balance uncompensated care costs while competing for privately insured patients.
Urban vs. Rural Provider Availability
Tennessee's Primary Care Doctor (Family Medicine) providers concentrate heavily in Nashville, Memphis, and Knoxville metropolitan areas, leaving rural counties in East and West Tennessee with limited access and longer travel distances. This geographic disparity often forces rural patients to pay higher travel costs or accept longer wait times, while urban markets benefit from competitive pricing among multiple health systems.
Facility Type and Overhead Costs
Hospital-based outpatient family medicine clinics affiliated with major systems like Vanderbilt, HCA Healthcare, or Baptist Memorial typically charge higher facility fees compared to independent practices in Tennessee. Academic medical centers command premium rates due to teaching hospital overhead, while independent family medicine practices often offer more competitive self-pay rates and flexible payment options.
Insurance Market Competition in Tennessee
BlueCross BlueShield of Tennessee dominates the individual marketplace with limited competition from UnitedHealthcare and Cigna, reducing insurer leverage in negotiating Primary Care Doctor (Family Medicine) rates. This concentrated market allows providers more pricing power compared to states with robust insurer competition, though employer-sponsored plan diversity helps moderate some rate increases.
Physician Supply and Demand in Tennessee
With 142 active Primary Care Doctor (Family Medicine) providers serving nearly 7 million residents, Tennessee faces moderate supply constraints that vary significantly by region. Nashville and Memphis maintain adequate provider density, while rural areas experience shortages that can drive up costs and extend wait times for non-urgent family medicine consultations.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Tennessee.
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 Tennessee
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Tennessee without insurance?
Does Tennessee Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Tennessee?
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 Tennessee?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Tennessee?
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 |