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Home Visit for Patient Assessment (BPCI Initiative)

Kentucky 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?

$40.74

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $39.81 to $42.66.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43 · 10th to 90th $42 to $69Professionalmedian $41 · 10th to 90th $35 to $47
$50facility $43professional $41

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
$41.69
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$42.66
Typical High
$44.67
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.89
Median
$21.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.32
Median
$8.51
Typical High
$8.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.17
Median
$6.31
Typical High
$6.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.17
Median
$4.27
Typical High
$4.47
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$40.74
Typical High
$42.66
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
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$42.66
Typical High
$57.54

Where Kentucky 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.

Kentucky· 47th of 51

$40.74

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.