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Postdischarge In-Home Visit, New Patient, Comprehensive

South 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?

$145

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $135 to $174.

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.

How much rates vary

Facilitymedian $151 · 10th to 90th $135 to $209Professionalmedian $145 · 10th to 90th $135 to $182
$50.0$100.0$200.0$500.0facility $151professional $145

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
$134.90
Median
$134.90
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$190.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$309.03

Where South 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.

South Carolina $145 · 47th 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.