Cost of a Primary Care Doctor (Family Medicine) Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare system operates with Medicaid expansion coverage serving over 180,000 low-income adults, while Primary Care Doctor (Family Medicine) visits cost patients between $60 and $180, with a median out-of-pocket cost of $90 according to insurer negotiated rate data. The state maintains 39 active Primary Care Doctor (Family Medicine) providers across its diverse geography, from the Wasatch Front urban corridor to rural counties in southern Utah. Patients can browse all providers in Utah to compare costs and verify insurance coverage before booking their visit.
Average
$110
Median
$90
Lowest
$60
Highest
$180
Providers
39
15% below national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $75 | $85 | $204 | 21 |
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 Utah
Dr. Ehsan Hadjbian, MD
Family Medicine Physician · Sandy, UT
Dr. Sergio Abarca, MD
Family Medicine Physician · Tooele, UT
Dr. Layne Barker, MD
Family Medicine Physician · Layton, UT
Dr. Lawrence Grandy, MD
Family Medicine Physician · Salt Lake City, UT
Dr. Richard Oakden, MD
Family Medicine Physician · Beaver, UT
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Utah
Utah's healthcare costs run approximately 2% below national averages, driven by competitive insurer markets and lower overall cost of living compared to neighboring western states. The state's unique geography concentrates most providers along the Wasatch Front, creating cost disparities between urban Salt Lake City and rural counties in southern Utah.
Urban vs. Rural Provider Availability
Over 80% of Utah's Primary Care Doctor (Family Medicine) providers practice along the Wasatch Front corridor from Ogden to Provo, leaving rural counties with limited access and higher travel costs for patients. Remote areas like San Juan and Daggett counties rely on critical access hospitals and telemedicine services, which can affect visit pricing and availability.
Facility Type and Overhead Costs
Hospital-owned Primary Care Doctor (Family Medicine) clinics in Utah typically charge 40-60% more than independent practices due to facility fees and higher overhead costs. Intermountain Healthcare and University of Utah Health system-affiliated providers often have higher negotiated rates compared to independent family medicine practices throughout the state.
Insurance Market Competition in Utah
Utah's competitive insurance market includes SelectHealth, BCBS Utah, and UnitedHealthcare, creating downward pressure on Primary Care Doctor (Family Medicine) visit costs through competitive negotiated rates. SelectHealth's dominant market position in Utah allows for broad provider networks and standardized pricing, while smaller insurers compete on cost and specialty access.
Physician Supply and Demand in Utah
With 39 active Primary Care Doctor (Family Medicine) providers serving Utah's growing population of 3.4 million residents, the state faces moderate provider shortages, particularly in rural areas. This supply-demand imbalance can increase wait times and costs in underserved regions, while the Wasatch Front maintains better provider density and competitive pricing.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Utah.
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 Utah
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Utah without insurance?
Does Utah Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Utah?
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 |