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Home Visit, New Patient

Colorado rates for HCPCS 99342

A doctor or other qualified clinician visits a patient at home or in their residence for someone the practice has not treated before. The visit covers taking a full history, examining the person, reviewing their medicines, and setting out a plan, all without the patient having to travel to a clinic.

Rates data updated July 2026.

How much does Home Visit, New Patient cost?

$69.18

Typical physician fee. In Colorado, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $58.88 to $81.28.

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.

How much rates vary

Facilitymedian $79 · 10th to 90th $56 to $115Professionalmedian $66 · 10th to 90th $52 to $95
$50$100$200facility $79professional $66

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
$64.57
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$162.18
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$154.88

Where Colorado sits

The same service costs 2.2 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.

Colorado· 30th of 51

$69.18

MT $132MS $58.88

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.