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Postdischarge In-Home Visit, New Patient, Comprehensive

Washington, DC rates for HCPCS G2004

Comprehensive (60 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.

Facilitymedian $151 · 10th–90th $151$1510%50%100%$151Professionalmedian $151 · 10th–90th $138$2000%20%40%10th90th$151$200.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$363.08