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Home Visit, Established Patient, Routine

South Dakota rates for HCPCS 99348

A clinician visits a patient at home for a check on an ongoing condition, reviewing how things have gone, examining the patient, and adjusting treatment as needed. It applies to someone already known to the practice and to problems of lower complexity than the longer home visits. It suits people who cannot easily travel to an office.

Rates data updated October 2026.

How much does Home Visit, Established Patient, Routine cost?

$112

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $89.13 to $138.

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.

How much rates vary

Facilitymedian $98 · 10th to 90th $72 to $155Professionalmedian $112 · 10th to 90th $58 to $162
$50$100$200facility $98professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$70.79
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$57.54
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$97.72
Typical High
$154.88
Medica
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$162.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$158.49
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$102.33
Typical High
$147.91
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$162.18
Wellmark
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$112.20

Where South Dakota sits

The same service costs 2.1 times more in Oregon than in Alabama. 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· 6th of 51

$112

OR $135AL $63.10

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.