Home Visit for Patient Assessment (BPCI Initiative)

Washington, DC 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?

$52.48

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $42.66 to $52.48.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $52 · 10th to 90th $52 to $52Professionalmedian $52 · 10th to 90th $39 to $54

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48	Facility	None	$52.48	$52.48	$52.48
Aetna Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $52.48	Professional	None	$28.18	$52.48	$52.48
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77	Professional	None	$46.77	$46.77	$46.77
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $50.12	Professional	None	$38.90	$38.90	$50.12
United Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $66.07	Professional	None	$42.66	$53.70	$66.07

Where Washington, DC 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.

Washington, DC· 20th of 51

$52.48

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.