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Home Visit for Patient Assessment (BPCI Initiative)

Arkansas rates for HCPCS G9187

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Rates data updated October 2026.

How much does Home Visit for Patient Assessment (BPCI Initiative) cost?

$41.69

Typical physician fee. In Arkansas, October 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $41.69 to $54.95.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41 · 10th to 90th $41 to $41Professionalmedian $42 · 10th to 90th $41 to $55
$50facility $41professional $42

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
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$45.71
Typical High
$63.10

Where Arkansas sits

The same service costs 4.9 times more in Alabama than in Louisiana. 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.

Arkansas· 46th of 51

$41.69

AL $151LA $30.90

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.