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Home Visit, New Patient

Ohio 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?

$61.66

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $52.48 to $69.18.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52 · 10th to 90th $46 to $62Professionalmedian $62 · 10th to 90th $46 to $93
$50$100facility $52professional $62

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
$45.71
Median
$52.48
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$162.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$131.83

Where Ohio 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.

Ohio· 49th of 51

$61.66

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.