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Home Visit, New Patient

South Dakota 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?

$70.79

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $52.48 to $102.

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 $123 · 10th to 90th $74 to $355Professionalmedian $71 · 10th to 90th $50 to $132
$50$100$200facility $123professional $71

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
$43.65
Median
$60.26
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$151.36
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$213.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$112.20

Where South Dakota 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 Dakota· 29th of 51

$70.79

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.