Cost of a General Doctor (Adult) Visit
in Modesto
Reviewed by Momentary Medical Group West PC
Modesto's healthcare market features a concentrated network of individual practitioners serving the Central Valley community. Patients in Modesto pay between $80 and $202 for a General Doctor (Adult) visit, with a median cost of $80. The city has 35 active providers, consisting entirely of individual practitioners with no group practice organizations.
Cost Summary for General Doctor (Adult) in Modesto
Low Estimate
$80
Median
$80
High Estimate
$202
Providers
19
39% below national average
Compare Similar Procedures
How does internal medicine visit compare to related procedures in California?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Family Medicine Visit Standard office visit with a family medicine physician | 99214 | $70 | $140 | $250 | 1,828 |
| Psychiatric Evaluation Initial psychiatric evaluation with medical services | 90792 | $81 | $267 | $267 | 274 |
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 internal 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.
New Patient vs. Follow-Up Costs in Modesto
Initial consultations with a General Doctor (Adult) typically cost more than follow-up visits due to the additional time required for medical history review and physical examination. The data below shows pricing for new patient visits (CPT codes 99203 and 99204) and established patient follow-ups (CPT codes 99213 and 99214) across Modesto providers.
| Visit Type | Low Estimate | High Estimate |
|---|---|---|
| New Patient VisitCPT 99203/99204 | $80 | $262 |
| Follow-Up VisitCPT 99213/99214 | $80 | $202 |
New patient visits (CPT 99203/99204) involve more evaluation time. Follow-up visits (CPT 99213/99214) are typically shorter and lower cost.
Top General Doctor (Adult)s in Modesto
Modesto currently has 35 active General Doctor (Adult) providers available for new patients. Each provider profile includes verified credentials, patient ratings, and transparent pricing information to help you make an informed decision.
| Provider | Organization | Location | Specialty |
|---|---|---|---|
| Dr. Mark Gullapalli, MD5.0 stars (9 reviews) | — | 4601 DALE RD, Modesto, CA 95356 | Internal Medicine Physician |
| Dr. Samuel Ko, MD5.0 stars (1 reviews) | — | 600 COFFEE RD, Modesto, CA 95355 | Internal Medicine Physician |
| Dr. Henry Saalwaechter, MD5.0 stars (1 reviews) | — | 600 COFFEE RD, Modesto, CA 95355 | Internal Medicine Physician |
| Dr. Satya Toram, MD5.0 stars (1 reviews) | — | 1441 FLORIDA AVE, Modesto, CA 95350 | Internal Medicine Physician |
| Dr. Xiaohui Tan, MD5.0 stars (1 reviews) | — | 1524 MCHENRY AVE, Modesto, CA 95350 | Internal Medicine Physician |
Provider information sourced from the CMS NPI Registry. In-network status varies by insurance plan — verify directly with the provider and your insurer before booking.
Is It Cheaper to See a General Doctor (Adult) Near Modesto?
Modesto offers competitive pricing compared to nearby cities, with a median cost of $80 that matches San Jose but runs significantly lower than regional alternatives. Stockton, located 27 miles away, has a slightly higher median of $88, while Fremont costs $60 more at $140 median. Patients in Modesto benefit from some of the most affordable General Doctor (Adult) rates in the Central Valley region.
| City | Median Cost | vs. Modesto | Providers |
|---|---|---|---|
| Modesto (this city) | $80 | — | 19 |
| Stockton27.2 mi away | $88 | +$8 | 6 |
| San Jose53 mi away | $80 | $0 | 54 |
| Fremont54.7 mi away | $140 | +$60 | 34 |
Nearby cities sorted by distance. Delta = nearby city median minus Modesto median. Provider count reflects active providers for this specialty.
General Doctor (Adult) Visit Costs by City in California — 2026
| City | Min Cost | Median Cost | Max Cost |
|---|---|---|---|
| Chula Vista | $130 | $287 | $287 |
| La Mesa | $130 | $287 | $287 |
| Beverly Hills | $85 | $242 | $251 |
| West Hollywood | $85 | $242 | $251 |
| Tarzana | $80 | $242 | $242 |
| Marina Del Rey | $85 | $242 | $242 |
| Clovis | $85 | $238 | $238 |
| San Diego | $80 | $236 | $287 |
| Santa Barbara | $80 | $234 | $236 |
| Walnut Creek | $85 | $228 | $228 |
| Concord | $85 | $228 | $251 |
| Orinda | $85 | $228 | $251 |
| San Ramon | $203 | $228 | $228 |
| Danville | $80 | $228 | $228 |
| Mission Viejo | $131 | $202 | $204 |
| Fullerton | $82 | $202 | $204 |
| Santa Rosa | $150 | $202 | $204 |
| Newport Beach | $80 | $202 | $204 |
| Napa | $88 | $202 | $228 |
| Huntington Beach | $70 | $202 | $238 |
| Eureka | $202 | $202 | $204 |
| Santa Ana | $70 | $202 | $204 |
| San Clemente | $70 | $202 | $204 |
| Yorba Linda | $80 | $202 | $204 |
| Salinas | $168 | $196 | $196 |
| Fresno | $70 | $194 | $238 |
| Visalia | $88 | $194 | $194 |
| Anaheim | $70 | $180 | $204 |
| Pasadena | $85 | $178 | $242 |
| Mission Hills | $70 | $178 | $203 |
| Covina | $80 | $178 | $178 |
| Arcadia | $178 | $178 | $178 |
| Duarte | $80 | $178 | $205 |
| Garden Grove | $129 | $178 | $203 |
| Glendora | $178 | $178 | $178 |
| San Gabriel | $159 | $178 | $184 |
| Montebello | $82 | $173 | $178 |
| Torrance | $85 | $168 | $250 |
| San Juan Capistrano | $70 | $165 | $202 |
| Laguna Niguel | $147 | $158 | $171 |
| Bakersfield | $70 | $150 | $202 |
| San Rafael | $150 | $150 | $169 |
| Greenbrae | $150 | $150 | $214 |
| Poway | $130 | $147 | $287 |
| Sacramento | $80 | $144 | $228 |
| Redlands | $121 | $141 | $160 |
| Fremont | $80 | $140 | $201 |
| Westminster | $88 | $137 | $203 |
| La Jolla | $70 | $130 | $287 |
| Vista | $86 | $130 | $164 |
| Lodi | $75 | $129 | $159 |
| Pomona | $80 | $116 | $245 |
| Los Gatos | $80 | $116 | $236 |
| Morgan Hill | $80 | $109 | $242 |
| Chico | $87 | $94 | $287 |
| Redwood City | $80 | $88 | $251 |
| Escondido | $80 | $88 | $147 |
| Glendale | $78 | $88 | $178 |
| Redding | $88 | $88 | $91 |
| Hanford | $75 | $88 | $157 |
| Stockton | $70 | $88 | $152 |
| Atascadero | $80 | $88 | $113 |
| Marysville | $86 | $88 | $98 |
| Los Angeles | $80 | $85 | $251 |
| San Francisco | $80 | $85 | $251 |
| Santa Monica | $80 | $85 | $251 |
| Oakland | $80 | $85 | $251 |
| Long Beach | $70 | $85 | $250 |
| Burbank | $85 | $85 | $242 |
| Berkeley | $80 | $85 | $251 |
| Emeryville | $80 | $85 | $88 |
| Riverside | $80 | $85 | $202 |
| Daly City | $85 | $85 | $251 |
| Valencia | $85 | $85 | $85 |
| Thousand Oaks | $80 | $85 | $106 |
| San Leandro | $80 | $85 | $251 |
| Sylmar | $85 | $85 | $202 |
| Simi Valley | $85 | $85 | $88 |
| Encino | $85 | $85 | $169 |
| Porter Ranch | $85 | $85 | $85 |
| Hayward | $80 | $85 | $221 |
| Burlingame | $85 | $85 | $251 |
| Palmdale | $79 | $82 | $88 |
| Stanford | $80 | $80 | $80 |
| Orange | $80 | $80 | $202 |
| San Jose | $80 | $80 | $202 |
| Palo Alto | $80 | $80 | $80 |
| Irvine | $70 | $80 | $202 |
| Pleasanton | $80 | $80 | $228 |
| Modesto (this city) | $80 | $80 | $202 |
| Mountain View | $80 | $80 | $202 |
| Menlo Park | $80 | $80 | $80 |
| Laguna Hills | $70 | $80 | $203 |
| San Luis Obispo | $72 | $80 | $90 |
| Palm Springs | $80 | $80 | $85 |
| Castro Valley | $80 | $80 | $228 |
| Loma Linda | $73 | $80 | $168 |
| Lancaster | $80 | $80 | $126 |
| Costa Mesa | $80 | $80 | $202 |
| Roseville | $80 | $80 | $88 |
| Santa Maria | $80 | $80 | $90 |
| Fountain Valley | $70 | $70 | $178 |
| Rancho Mirage | $68 | $70 | $287 |
Costs reflect self-pay estimates based on insurer-negotiated rates. Insured patients may pay significantly less depending on plan type, deductible status, and network tier.
Cost by Procedure Type
Internal Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Modesto, California.
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.