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Postdischarge In-Home Visit, Existing Patient, Limited

Illinois rates for HCPCS G2007

Limited (30 minutes) in-home visit for an existing 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, Existing Patient, Limited cost?

$66.07

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $66.07 for this service. Most negotiated rates run $66.07 to $74.13.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66 · 10th to 90th $55 to $100Professionalmedian $66 · 10th to 90th $55 to $89
$100facility $66professional $66

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
$54.95
Median
$66.07
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.13
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.50
Median
$6.61
Typical High
$6.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$147.91
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$97.72
Typical High
$102.33
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$97.72
Typical High
$151.36

Where Illinois 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.

Illinois· 47th of 51

$66.07

AK $155AZ $60.26

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.