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Home Visit, New Patient

Indiana 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?

$60.26

Typical physician fee. In Indiana, July 2026.

Insurers have agreed to pay about $60.26 for this service. Most negotiated rates run $51.29 to $75.86.

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 $105 · 10th to 90th $81 to $105Professionalmedian $60 · 10th to 90th $46 to $95
$50$100facility $105professional $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. 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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$81.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$114.82

Where Indiana 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.

Indiana· 50th of 51

$60.26

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.