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Home Visit, New Patient, Most Extensive

Illinois 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 physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $141 to $219.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $347 · 10th to 90th $141 to $347Professionalmedian $170 · 10th to 90th $129 to $275
$100$200$500facility $347professional $170

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
$141.25
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$380.19

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· 45th 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.