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Postdischarge In-Home Visit, New Patient, Comprehensive

Illinois 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?

$135

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $135 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $100 to $162Professionalmedian $135 · 10th to 90th $112 to $191
$100$200facility $135professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$134.90
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.98
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.22
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$158.49
Typical High
$316.23
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$208.93
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$213.80
Typical High
$331.13

Where Illinois 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.

Illinois· 47th of 51

$135

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.