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Home Visit, Established Patient, Extensive

Massachusetts 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 July 2026.

Facilitymedian $151 · 10th–90th $123$1860%20%10th90th$151Professionalmedian $151 · 10th–90th $123$1860%10%20%10th90th$151$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$186.21
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$794.33
Typical High
$794.33
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$269.15
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$194.98
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$194.98
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$794.33
Typical High
$794.33
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$346.74
Tufts
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$295.12