go back

Home Visit, New Patient, Most Extensive

Virginia 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?

$186

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $186 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$186$166 to $219
FacilityA hospital or hospital-owned outpatient department$186$166 to $219

How much rates vary

Facilitymedian $186 · 10th to 90th $158 to $229Professionalmedian $186 · 10th to 90th $166 to $229
$100$200facility $186professional $186

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
$186.21
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$275.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$218.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$251.19
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$371.54

Where Virginia 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.

Virginia· 34th of 51

$186

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.