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Postdischarge In-Home Visit, New Patient, Comprehensive

Kentucky 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?

$141

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $138 to $182.

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 $138 · 10th to 90th $138 to $229Professionalmedian $141 · 10th to 90th $123 to $263
$50$100$200$500facility $138professional $141

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
$138.04
Median
$138.04
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$138.04
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$69.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$27.54
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$20.89
Typical High
$26.92
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$13.80
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$158.49
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$794.33
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$190.55
Typical High
$275.42

Where Kentucky 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.

Kentucky· 45th of 51

$141

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.