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Postdischarge In-Home Visit, New Patient, Moderate

Utah rates for HCPCS G2003

Moderate (45 minutes) in-home visit for a new patient postdischarge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than nine times.)

Rates data updated July 2026.

How much does Postdischarge In-Home Visit, New Patient, Moderate cost?

$123

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $102 to $138.

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.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $158Professionalmedian $123 · 10th to 90th $95 to $158
$50$100$200facility $138professional $123

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
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$165.96
Typical High
$165.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$177.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$204.17

Where Utah sits

The same service costs 1.9 times more in Minnesota than in Delaware. 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.

Utah· 14th of 51

$123

MN $186DE $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.