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Home Visit, New Patient, Moderate Complexity

Kentucky rates for HCPCS 99343

A first visit by a doctor or other qualified provider to a patient in the patient's own home, at a moderate level of complexity. It involves a detailed history and examination and decision-making about a problem of moderate severity, for someone the provider has not seen before.

Rates data updated July 2026.

How much does Home Visit, New Patient, Moderate Complexity cost?

$214

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $170 to $245.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $148 to $269Professionalmedian $234 · 10th to 90th $135 to $269
$200facility $214professional $234

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$269.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91

Where Kentucky sits

The same service costs 17.4 times more in Missouri than in South Carolina. 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.

Kentucky· 18th of 36

$214

MO $525SC $30.20

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.