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In short PrEP visit price What the prEP visit is Who it is for How Pymander fits Common questions SourcesA prEP visit costs about $117.57 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).
PrEP visit price
| Item | Detail |
|---|---|
| Benchmark price | $117.57 |
| Basis | CMS Physician Fee Schedule 2026 (October release) |
| Billing code | CPT 99203 |
| Format | Video visit |
$117.57 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 99203 (new-patient visit, low complexity), the closest standard code for this visit.
Of the 25 primary care visit types in our catalog, PrEP visit has the highest price. The middle price for that group is $75.15.
What the prEP visit is
A video visit to start or continue PrEP, a medicine taken to prevent HIV.
Good for
People who want to lower their chance of getting HIV.
How it works
Meet a clinician on video. An HIV test and kidney labs are needed before starting, then regular testing while taking it.
Good to know
PrEP must not be started without a negative HIV test. It does not protect against other STIs. After a possible exposure in the last 72 hours, PEP is needed instead: go to urgent care or an ER now.
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 PrEP, HIV prevention, HIV.
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 prEP visit cost without insurance?
About $117.57 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.