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Home Visit, New Patient

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $69.18 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

Facilitymedian $76 · 10th to 90th $76 to $76Professionalmedian $69 · 10th to 90th $62 to $81
$100facility $76professional $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. 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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$69.18
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$173.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$69.18
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$173.78

Where Maine 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.

Maine· 32nd 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.