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Postdischarge In-Home Visit, New Patient, Comprehensive

North Carolina 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.

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

$166

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $174 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$145 to $191
FacilityA hospital or hospital-owned outpatient department$174$148 to $191

How much rates vary

Facilitymedian $174 · 10th to 90th $138 to $240Professionalmedian $166 · 10th to 90th $135 to $302
$100.0$200.0$500.0$1.0Kfacility $174professional $166

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
$173.78
Median
$173.78
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$331.13
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,288.25

Where North Carolina sits

The same service costs 1.7 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $166 · 15th of 51
MN $240DE $141

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.