go back

Home Visit, New Patient, Moderate Complexity

Washington 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 rates vary

Facilitymedian $219 · 10th to 90th $174 to $245Professionalmedian $200 · 10th to 90th $200 to $251
$200facility $219professional $200

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
$199.53
Median
$199.53
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$245.47