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Home Visit, New Patient, Most Extensive

South Dakota 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?

$195

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $155 to $245.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $191 to $912Professionalmedian $195 · 10th to 90th $129 to $288
$200$500$1Kfacility $295professional $195

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
$128.82
Median
$181.97
Typical High
$251.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Avera
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12

Where South Dakota 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 Dakota· 28th of 51

$195

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.