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Home Visit, New Patient, Straightforward

North Carolina rates for HCPCS 99341

A visit by a doctor or other qualified clinician to a patient's home to evaluate and manage a health problem, for someone the clinician has not seen before. This is the briefest and most straightforward level of home visit, covering a single, uncomplicated issue. More involved home visits are charged at higher levels.

Rates data updated July 2026.

How much does Home Visit, New Patient, Straightforward cost?

$61.66

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$61.66$52.48 to $72.44
FacilityA hospital or hospital-owned outpatient department$72.44$48.98 to $87.10

How much rates vary

Facilitymedian $72 · 10th to 90th $39 to $331Professionalmedian $62 · 10th to 90th $52 to $81
$50$100$200facility $72professional $62

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$109.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$81.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$102.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where North Carolina sits

The same service costs 2.3 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 5th of 51

$61.66

MT $85.11MS $36.31

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.