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Home Visit, New Patient, Most Extensive

Massachusetts 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?

$263

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $263 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$263$229 to $309
FacilityA hospital or hospital-owned outpatient department$263$229 to $309

How much rates vary

Facilitymedian $263 · 10th to 90th $214 to $324Professionalmedian $263 · 10th to 90th $214 to $324
$200$500$1Kfacility $263professional $263

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
$213.80
Median
$263.03
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$323.59
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$1,348.96
Typical High
$1,348.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$446.68
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$309.03
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$309.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$1,348.96
Typical High
$1,348.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$467.74

Where Massachusetts 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.

Massachusetts· 2nd of 51

$263

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.