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Postdischarge In-Home Visit, New Patient, Extensive

Missouri rates for HCPCS G2005

Extensive (75 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, Extensive cost?

$204

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $195 to $234.

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 $389 · 10th to 90th $178 to $1,047Professionalmedian $204 · 10th to 90th $166 to $339
$200$500$1Kfacility $389professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$83.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$33.11
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$25.12
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$16.60
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$245.47
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$263.03
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$501.19
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$263.03
Typical High
$363.08

Where Missouri 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.

Missouri· 29th of 51

$204

AK $407AZ $158

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.