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Home Visit, New Patient

Iowa 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?

$64.57

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $69.18 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$63.10$56.23 to $74.13
FacilityA hospital or hospital-owned outpatient department$69.18$61.66 to $77.62

How much rates vary

Facilitymedian $69 · 10th to 90th $56 to $174Professionalmedian $63 · 10th to 90th $52 to $89
$50$100$200facility $69professional $63

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
$53.70
Median
$66.07
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$144.54
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$158.49
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$109.65

Where Iowa 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.

Iowa· 44th of 51

$64.57

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.