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Home Visit, New Patient

New Jersey 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?

$67.61

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $58.88 to $77.62.

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 $78 · 10th to 90th $78 to $85Professionalmedian $68 · 10th to 90th $52 to $91
$50$100facility $78professional $68

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
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$141.25

Where New Jersey 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.

New Jersey· 34th of 51

$67.61

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.