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Home Visit, New Patient, Straightforward

Washington 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?

$60.26

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $97.72 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 9 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$60.26$53.70 to $72.44
FacilityA hospital or hospital-owned outpatient department$97.72$81.28 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $65 to $102Professionalmedian $60 · 10th to 90th $37 to $105
$50$100facility $98professional $60

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
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$79.43
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$38.02
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$102.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$70.79
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$144.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$102.33

Where Washington 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.

Washington· 7th of 51

$60.26

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.