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In short Cold sore visit price What the cold sore visit is Who it is for How Pymander fits Common questions SourcesA cold sore visit costs about $30.73 using the Medicare national rate as a cash benchmark.
A clinic may set its own price. Insurance is not billed. This is an outside benchmark, not a Pymander price. Benchmark as of 2026 (October release).
Cold sore visit price
| Item | Detail |
|---|---|
| Benchmark price | $30.73 |
| Basis | CMS Physician Fee Schedule 2026 (October release) |
| Billing code | CPT 99422 |
| Format | Photos and questionnaire |
$30.73 is Medicare’s national non-facility amount for the closest standard visit code, the public benchmark for a cash price. It is not a quote from a specific clinic and it is not a Pymander price. A clinic may set its own price. Ask for the total price in writing before you book. Source data: CMS Physician Fee Schedule 2026 (October release). Benchmarked at CPT 99422 (online digital visit, 11–20 minutes), the closest standard code for this visit.
Of the 25 primary care visit types in our catalog, Cold sore visit costs less than 16 of the others. The middle price for that group is $75.15.
What the cold sore visit is
A photo and questionnaire visit for cold sores.
Good for
Cold sore outbreaks, and medicine to keep on hand for the next one.
How it works
Upload a photo and answer questions. A clinician reviews and may message you.
Good to know
Antivirals work best when started at the first tingle. A sore near the eye, or sores that spread widely, need prompt in-person care.
The plain-language description on this page was written from public medical sources and has not been reviewed by a clinician. Use it to get oriented, then check with your own clinician or pharmacist.
Who it is for
People look this up for cold sore, fever blister, oral herpes, HSV-1.
How Pymander fits
Pymander is an AI-native, cash-pay healthcare system. This catalog shows an outside benchmark price so you know what to expect before you pay. You can text our free AI doctor to talk through your symptoms and whether this visit makes sense, and bring the care note to a licensed clinician. A clinician decides what is ordered.
Common questions
How much does a cold sore visit cost without insurance?
About $30.73 using Medicare’s national non-facility amount for the closest standard visit code, the public benchmark for a cash price (2026 (October release)). A clinic may set its own price. The real price depends on where you go.
Why is this a Medicare price?
Medicare publishes national rates for every billing code. They are a public, checkable benchmark, so we use them instead of guessing. Cash prices at a given lab, center or clinic can be higher or lower.
Do I need an order for this visit?
No. You book a visit directly.
Is this Pymander’s price?
No. It is a public outside benchmark that Pymander does not set. Ask for the exact price before you book.