go back

Home Visit, New Patient

Massachusetts 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?

$93.33

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $93.33 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$93.33$83.18 to $110
FacilityA hospital or hospital-owned outpatient department$93.33$83.18 to $110

How much rates vary

Facilitymedian $93 · 10th to 90th $76 to $115Professionalmedian $93 · 10th to 90th $76 to $115
$50$100$200$500facility $93professional $93

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
$75.86
Median
$93.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$114.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$467.74
Typical High
$467.74
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$162.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$114.82
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$120.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$134.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$467.74
Typical High
$467.74
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$177.83

Where Massachusetts 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.

Massachusetts· 2nd of 51

$93.33

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.