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Home Visit, New Patient, Most Extensive

Iowa rates for HCPCS 99345

A clinician's first visit to a patient at home in its most demanding form, used when the person is unstable or has a significant new problem that needs urgent, detailed assessment. It covers a full history, thorough examination, and decisions that carry real risk, made outside a clinical setting. It applies to someone not previously seen by the practice.

Rates data updated July 2026.

How much does Home Visit, New Patient, Most Extensive cost?

$170

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $186 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 7 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$166$148 to $195
FacilityA hospital or hospital-owned outpatient department$186$166 to $219

How much rates vary

Facilitymedian $186 · 10th to 90th $141 to $437Professionalmedian $166 · 10th to 90th $132 to $245
$200$500$1Kfacility $186professional $166

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
$141.25
Median
$186.21
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$218.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$363.08
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$436.52
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$288.40

Where Iowa 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.

Iowa· 44th of 51

$170

MT $347MS $148

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.