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Home Visit, New Patient, Most Extensive

Tennessee 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?

$204

Typical physician fee. In Tennessee, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $178 to $240.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,349 · 10th to 90th $166 to $1,349Professionalmedian $204 · 10th to 90th $166 to $288
$200$500$1Kfacility $1,349professional $204

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
$165.96
Median
$165.96
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$398.11

Where Tennessee 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.

Tennessee· 20th of 51

$204

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.