go back

Home Visit, New Patient, Moderate Complexity

South Dakota 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?

$257

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $219 to $275.

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 $525 · 10th to 90th $525 to $525Professionalmedian $224 · 10th to 90th $204 to $275
$200$500facility $525professional $224

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98

Where South Dakota 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.

South Dakota· 15th of 36

$257

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.