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Postdischarge In-Home Visit, New Patient, Comprehensive

South Dakota 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 Dakota, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $141 to $186.

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 $151 · 10th to 90th $120 to $316Professionalmedian $145 · 10th to 90th $120 to $257
$200facility $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. 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
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$302.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$436.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$245.47

Where South Dakota sits

The same service costs 1.7 times more in Minnesota than in Delaware. 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.

South Dakota· 43rd of 51

$145

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.