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Home Visit, New Patient, Complex

Illinois rates for HCPCS 99344

A clinician's first visit to a patient at home, covering a full history, a thorough examination, and a treatment plan built from scratch for someone not previously seen by the practice. It applies where the problems are complex and demand careful assessment and decision-making. Home visits serve people for whom traveling to an office is difficult or unsafe.

Rates data updated July 2026.

How much does Home Visit, New Patient, Complex cost?

$120

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $102 to $158.

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

Facilitymedian $282 · 10th to 90th $100 to $282Professionalmedian $120 · 10th to 90th $91 to $200
$100$200facility $282professional $120

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
Facility
Modifier
Global
Typical Low
$100.00
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$316.23

Where Illinois sits

The same service costs 2.3 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.

Illinois· 46th of 51

$120

MT $245MS $105

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.