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Home Visit, New Patient, Most Extensive

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $132 to $204.

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 $209 · 10th to 90th $141 to $912Professionalmedian $158 · 10th to 90th $120 to $251
$100$200$500$1Kfacility $209professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$338.84

Where Missouri 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.

Missouri· 48th 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.