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General Doctor (Adult)

Cost of a General Doctor (Adult) Visit:
$93-$197

How much does a general doctor (adult) visit cost? The national median negotiated rate for CPT 99214 is $124, with rates ranging from $93 to $197 across 18,451 providers.

National Median

$124

Low End (P5)

$93

High End (P95)

$197

Providers

18,451

General Doctor (Adult) Visit Costs by State

Click any state to see detailed general doctor (adult) visit pricing. Colors represent the median negotiated rate for CPT 99214.

Median Visit Cost

$93
$197

General Doctor (Adult) Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median general doctor (adult) visit rate for CPT 99214 (Office/outpatient visit, established patient, moderate complexity).

RankStateAverage
1Nebraska
Range: $80$314
$314
2New Hampshire
Range: $113$282
$222
3Maine
Range: $85$255
$250
4Wyoming
Range: $98$303
$130
5Iowa
Range: $80$274
$141
6Wisconsin
Range: $73$315
$98
7Minnesota
Range: $73$313
$91
8Vermont
Range: $73$243
$157
9New Mexico
Range: $80$234
$157
10South Dakota
Range: $80$293
$88
11Illinois
Range: $73$226
$155
12District of Columbia
Range: $59$242
$142
13Delaware
Range: $80$200
$144
14Massachusetts
Range: $80$255
$85
15California
Range: $80$250
$85
16New York
Range: $73$200
$131
17Washington
Range: $80$242
$80
18Michigan
Range: $66$236
$88
19Hawaii
Range: $70$228
$85
20Georgia
Range: $74$202
$105
21Connecticut
Range: $80$202
$93
22Arkansas
Range: $72$175
$126
23Indiana
Range: $74$209
$91
24Louisiana
Range: $70$202
$102
25Colorado
Range: $80$203
$90
26West Virginia
Range: $80$159
$133
27Oregon
Range: $80$206
$85
28Ohio
Range: $70$201
$100
29Rhode Island
Range: $80$200
$88
30Pennsylvania
Range: $74$202
$91
31Kentucky
Range: $80$201
$85
32Utah
Range: $75$204
$85
33North Dakota
Range: $80$188
$91
34North Carolina
Range: $73$200
$85
35Florida
Range: $55$207
$91
36Tennessee
Range: $73$173
$100
37Missouri
Range: $72$146
$126
38Maryland
Range: $49$202
$86
39Nevada
Range: $48$202
$85
40Kansas
Range: $72$151
$110
41Arizona
Range: $65$179
$88
42South Carolina
Range: $73$163
$80
43Oklahoma
Range: $72$158
$85
44New Jersey
Range: $53$193
$63
45Alabama
Range: $64$160
$80
46Mississippi
Range: $64$150
$88
47Idaho
Range: $75$125
$80
48Montana
Range: $80$102
$80
49Alaska
Range: $80$91
$80

Frequently Asked Questions

How much does a general doctor (adult) cost without insurance?

The average negotiated rate for a general doctor (adult) (CPT 99214) is $132 nationally. Rates typically range from $93 to $197 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a general doctor (adult) cost with insurance?

With insurance, your out-of-pocket cost for a general doctor (adult) depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $132. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do general doctor (adult) costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 99214 cover?

CPT 99214 is the billing code for: Office/outpatient visit, established patient, moderate complexity. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a general doctor (adult)?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 99214 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.