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Home Visit, New Patient, Most Extensive

Indiana 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?

$158

Typical physician fee. In Indiana, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $132 to $200.

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 $282 to $282Professionalmedian $158 · 10th to 90th $117 to $234
$100$200facility $282professional $158

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
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$316.23

Where Indiana 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.

Indiana· 50th of 51

$158

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.