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Home Visit, Established Patient, Extensive

Montana 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?

$200

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $224 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$145 to $200
FacilityA hospital or hospital-owned outpatient department$224$200 to $229

How much rates vary

Facilitymedian $224 · 10th to 90th $170 to $245Professionalmedian $178 · 10th to 90th $112 to $209
$50$100$200facility $224professional $178

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
Professional
Modifier
None
Typical Low
$95.50
Median
$107.15
Typical High
$125.89
BCBS
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$223.87
Typical High
$251.19
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$223.87
Typical High
$223.87
Providence
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$199.53
Typical High
$213.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$169.82
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$204.17
Typical High
$229.09

Where Montana 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.

Montana· 3rd of 51

$200

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.