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Postdischarge In-Home Visit, Existing Patient, Extensive

Maine 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?

$200

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $170 to $240.

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 $200 · 10th to 90th $166 to $316
$200$500professional $200

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
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$446.68

Where Maine 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.

Maine· 18th of 51

$200

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.