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Home Visit, Established Patient, Extensive

Texas 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?

$115

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $135 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 11 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$100 to $135
FacilityA hospital or hospital-owned outpatient department$135$112 to $263

How much rates vary

Facilitymedian $135 · 10th to 90th $81 to $794Professionalmedian $115 · 10th to 90th $100 to $141
$100$200$500facility $135professional $115

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$128.82
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$109.65
Median
$114.82
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$114.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$199.53
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$134.90

Where Texas 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.

Texas· 28th of 51

$115

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.