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Home Visit for Patient Assessment (BPCI Initiative)

Idaho 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?

$51.29

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $53.70 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 8 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 $61.66
FacilityA hospital or hospital-owned outpatient department$53.70$43.65 to $70.79

How much rates vary

Facilitymedian $54 · 10th to 90th $39 to $91Professionalmedian $47 · 10th to 90th $39 to $85
$50$100facility $54professional $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
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Moda Health
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$43.65
Typical High
$57.54
Moda Health
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$57.54
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$58.88
Typical High
$85.11
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$61.66
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$114.82
Select Health
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$47.86
Select Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$44.67
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$50.12
Typical High
$83.18

Where Idaho 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.

Idaho· 24th of 51

$51.29

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.