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Postdischarge In-Home Visit, Existing Patient, Limited

Texas 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?

$81.28

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $67.61 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$67.61 to $102
FacilityA hospital or hospital-owned outpatient department$67.61$67.61 to $91.20

How much rates vary

Facilitymedian $68 · 10th to 90th $65 to $95Professionalmedian $81 · 10th to 90th $18 to $513
$20$50$100$200$500facility $68professional $81

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
$66.07
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$33.11
Typical High
$33.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.77
Median
$10.00
Typical High
$10.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.46
Median
$6.76
Typical High
$6.76
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$676.08
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$95.50
Moda Health
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$67.61
Typical High
$67.61
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$33.11
Typical High
$33.88
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$13.49
Typical High
$13.49
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.77
Median
$10.00
Typical High
$10.23
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.46
Median
$6.76
Typical High
$6.76
Molina
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$97.72
Typical High
$109.65
Providence
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$97.72
Providence
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$85.11
Typical High
$128.82
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28

Where Texas 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.

Texas· 24th of 51

$81.28

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.