go back

Postdischarge In-Home Visit, New Patient, Extensive

Utah 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?

$214

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $204 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $214 · 10th to 90th $195 to $240
$200facility $234professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$194.98
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$213.80
Typical High
$239.88
Select Health
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Select Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$302.00
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$257.04
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$223.87
Typical High
$323.59

Where Utah 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.

Utah· 22nd of 51

$214

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.