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Home Visit for Patient Assessment (BPCI Initiative)

Florida 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?

$46.77

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $50.12 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$39.81 to $54.95
FacilityA hospital or hospital-owned outpatient department$50.12$43.65 to $54.95

How much rates vary

Facilitymedian $50 · 10th to 90th $40 to $55Professionalmedian $47 · 10th to 90th $30 to $55
$50facility $50professional $47

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
$29.51
Median
$39.81
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$39.81
Typical High
$46.77
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.45
Median
$19.95
Typical High
$23.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.89
Median
$7.94
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.37
Median
$6.03
Typical High
$7.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.95
Median
$3.98
Typical High
$4.68
AvMed
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$54.95
AvMed
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$41.69
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Molina
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$28.84
Typical High
$29.51
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$39.81
Typical High
$67.61
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Florida 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.

Florida· 29th of 51

$46.77

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.