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Home Visit for Patient Assessment (BPCI Initiative)

California 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 July 2026.

Professionalmedian $47 · 10th–90th $7$1550%10%20%10th90th$47$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$63.10
Typical High
$199.53
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$35.48
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$53.70
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$85.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$123.03