Last updated: March 2026
How Much Does Nurse Practitioner (NP) Visit Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Primary Care NP Visit | $75 – $175 | $15 – $40 |
| NP Walk-In Visit | $100 – $200 | $20 – $50 |
| NP Telehealth Visit | $50 – $100 | $0 – $25 |
| NP Specialist Visit (women's health, psych) | $100 – $250 | $25 – $60 |
CPT/ADA Code: CPT 99213
What Affects the Cost
- Facility type (freestanding center vs. hospital — hospitals cost 2-3x more)
- Geographic location
- Complexity of the visit or test
- Whether additional tests or procedures are needed
- In-network vs. out-of-network provider
- Time of day (emergency/after-hours may cost more)
Insurance Coverage
Typical coverage: Covered like a primary care visit; copay typically $15-$50
Most diagnostic tests and urgent care visits are covered when medically necessary with a doctor's order. You'll pay your deductible first, then coinsurance (typically 20-40%). Preventive screenings are covered at $0 under the ACA. Always use in-network providers to avoid surprise bills.
How to Save Money
- Freestanding facilities cost 50-70% less than hospital-based
- Ask for cash-pay pricing upfront — often 40-60% less than billed rate
- Compare prices on MDsave.com or Healthcare Bluebook
- Use urgent care instead of ER for non-emergencies (save $1,000+)
- Telehealth visits cost $50-$100 for many conditions
- Check if the service qualifies as preventive care ($0 with insurance)
Related Procedures & Costs
Frequently Asked Questions
Yes, typically 20-40% cheaper. NP visits cost $75-$200 without insurance vs $150-$400 for physicians. Insurance copays are often the same ($15-$50) for both. NPs provide excellent primary care and are the primary providers at many retail clinics.
NPs can diagnose conditions, order and interpret tests, prescribe medications (including controlled substances in most states), perform physical exams, manage chronic diseases, and provide preventive care. They have master's or doctoral degrees.
For routine primary care, preventive visits, and common illnesses, NPs provide comparable quality care. For complex or rare conditions, multi-system diseases, or surgical consultations, a physician specialist may be more appropriate.