go back

Home Visit, New Patient, Most Extensive

Kentucky 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?

$166

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $229 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$132 to $186
FacilityA hospital or hospital-owned outpatient department$229$191 to $269

How much rates vary

Facilitymedian $229 · 10th to 90th $158 to $288Professionalmedian $166 · 10th to 90th $117 to $214
$100$200facility $229professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$269.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
Typical High
$338.84

Where Kentucky 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.

Kentucky· 46th of 51

$166

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.