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Home Visit, New Patient

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $60.26 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $69 · 10th to 90th $58 to $95
$50$100professional $69

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
$57.54
Median
$67.61
Typical High
$91.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$162.18

Where Georgia 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.

Georgia· 31st 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.