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Postdischarge In-Home Visit, Existing Patient, Limited

Massachusetts 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?

$85.11

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $83.18 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$72.44 to $93.33
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $117

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $138Professionalmedian $85 · 10th to 90th $72 to $263
$100$200$500$1K$2K$5Kfacility $83professional $85

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$100.00
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$131.83
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$158.49
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$134.90
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$512.86
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$120.23
Typical High
$257.04
Well Sense
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$131.83
Typical High
$190.55

Where Massachusetts 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.

Massachusetts· 18th of 51

$85.11

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.