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Postdischarge In-Home Visit, New Patient, Comprehensive

Wisconsin 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.

Facilitymedian $162 · 10th–90th $135$4790%10%20%10th90th$162Professionalmedian $182 · 10th–90th $138$3980%10%10th90th$182$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$302.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$223.87
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$436.52
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$223.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$524.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$891.25
Typical High
$1,096.48
Security Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$478.63