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Home Visit, New Patient

Illinois 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 physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $54.95 to $79.43.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $55 to $123Professionalmedian $65 · 10th to 90th $49 to $95
$50$100$200facility $123professional $65

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$138.04

Where Illinois 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.

Illinois· 41st 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.