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Home Visit, New Patient, Complex

New York 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?

$162

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $132 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 9 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$162$135 to $195
FacilityA hospital or hospital-owned outpatient department$132$132 to $145

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $195Professionalmedian $162 · 10th to 90th $115 to $224
$1$5$20$100$500facility $132professional $162

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
$131.83
Median
$131.83
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$162.18
Typical High
$354.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$151.36
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$162.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$323.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$446.68
Univera
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$162.18

Where New York 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.

New York· 23rd of 51

$162

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.