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Home Visit, New Patient

South Carolina 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?

$74.13

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $56.23 to $91.20.

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.

How much rates vary

Facilitymedian $79 · 10th to 90th $56 to $129Professionalmedian $74 · 10th to 90th $49 to $107
$50$100$200facility $79professional $74

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
$48.98
Median
$74.13
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$112.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$123.03

Where South Carolina 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.

South Carolina· 17th of 51

$74.13

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.