Tynbil: Know the *real* price for healthcare services

Illinois 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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $44.03 / $52.39	Professional	$37.04	$44.03	$52.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $42.56 / $67.50	Professional	$37.72	$42.56	$67.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $45.78 / $96.38	Professional	$38.97	$45.78	$96.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional	$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $52.80 / $80.88	Professional	$38.49	$52.80	$80.88