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Postdischarge In-Home Visit, New Patient, Comprehensive

Iowa 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 October 2026.

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

$191

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $174 to $245.

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 $372 · 10th to 90th $141 to $794Professionalmedian $191 · 10th to 90th $141 to $257
$200$500$1Kfacility $372professional $191

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
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$245.47
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$138.04
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$380.19
Typical High
$794.33
Medica
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$389.05
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55

Where Iowa sits

The same service costs 2.6 times more in Alaska than in Arizona. 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.

Iowa· 13th of 51

$191

AK $316AZ $120

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.