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Home Visit, New Patient, Most Extensive

South Carolina 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?

$200

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $166 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $204 · 10th to 90th $145 to $331Professionalmedian $191 · 10th to 90th $126 to $257
$200$500facility $204professional $191

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
$125.89
Median
$190.55
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$323.59

Where South Carolina 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.

South Carolina· 21st of 51

$200

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.