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Home Visit, New Patient

Utah 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?

$81.28

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $70.79 to $93.33.

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

Professionalmedian $81 · 10th to 90th $63 to $126
$50$100$200professional $81

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
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$77.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$120.23

Where Utah 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.

Utah· 11th of 51

$81.28

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.