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Home Visit, Established Patient, Extensive

Colorado rates for HCPCS 99349

A clinician visits a patient at home for a problem that needs a fuller assessment than a routine check, taking a detailed history, examining the patient, and reworking the treatment plan. It applies to someone already known to the practice. Home visits are used for people who cannot easily travel to an office.

Rates data updated October 2026.

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

$135

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$112 to $174
FacilityA hospital or hospital-owned outpatient department$132$95.50 to $155

How much rates vary

Facilitymedian $132 · 10th to 90th $83 to $251Professionalmedian $141 · 10th to 90th $91 to $240
$100$200facility $132professional $141

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$95.50
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$169.82
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$154.88
Typical High
$257.04
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$134.90
Typical High
$169.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$169.82
Typical High
$257.04
Select Health
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$251.19
Typical High
$281.84
Select Health
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$128.82
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$158.49
Typical High
$257.04

Where Colorado sits

The same service costs 2.1 times more in Wisconsin than in Ohio. 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.

Colorado· 21st of 51

$135

WI $209OH $100

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.