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Postdischarge In-Home Visit, Existing Patient, Comprehensive

Maine rates for HCPCS G2009

Comprehensive (60 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, Comprehensive cost?

$158

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $158 for this service. Most negotiated rates run $138 to $170.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $158 · 10th to 90th $138 to $174
$200professional $158

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
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$223.87
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$251.19
Typical High
$346.74

Where Maine 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.

Maine· 39th of 51

$158

AK $339AZ $132

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.