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Home Visit, New Patient, Complex

Massachusetts 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?

$214

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $214 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$191 to $251
FacilityA hospital or hospital-owned outpatient department$214$191 to $251

How much rates vary

Facilitymedian $214 · 10th to 90th $174 to $263Professionalmedian $214 · 10th to 90th $174 to $263
$100$200$500$1Kfacility $214professional $214

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
Facility
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$1,096.48
Typical High
$1,096.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$316.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$213.80
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$223.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$1,096.48
Typical High
$1,096.48
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$380.19
Tufts
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$323.59

Where Massachusetts 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.

Massachusetts· 2nd of 51

$214

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.