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Postdischarge In-Home Visit, Existing Patient, Limited

Pennsylvania 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 July 2026.

How much does Postdischarge In-Home Visit, Existing Patient, Limited cost?

$67.61

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $64.57 to $75.86.

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.

How much rates vary

Professionalmedian $68 · 10th to 90th $63 to $85
$100.0$200.0professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$85.11
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$83.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$85.11
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$154.88

Where Pennsylvania sits

The same service costs 1.7 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $67.61 · 47th of 51
MN $115DE $66.07

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.