go back

Postdischarge In-Home Visit, Existing Patient, Extensive

Massachusetts rates for HCPCS G2013

Extensive (75 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, Extensive cost?

$214

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $178 to $263.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $214 · 10th to 90th $166 to $447
$200$500professional $214

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
$162.18
Median
$186.21
Typical High
$239.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$229.09
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$537.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$602.56

Where Massachusetts sits

The same service costs 1.8 times more in Minnesota than in Delaware. 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· 13th of 51

$214

MN $309DE $174

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.