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Home Visit, Established Patient, Extensive

New Mexico 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.

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

$129

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $115 to $151.

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.

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $151Professionalmedian $129 · 10th to 90th $110 to $229
$100$200facility $81professional $129

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$181.97
Typical High
$181.97
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$151.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$223.87

Where New Mexico sits

The same service costs 2.2 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.

New Mexico· 11th of 51

$129

MT $209MS $93.33

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.