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Home Visit for Patient Assessment (BPCI Initiative)

Louisiana 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?

$30.90

Typical physician fee. In Louisiana, October 2026.

Insurers have agreed to pay about $30.90 for this service. Most negotiated rates run $0.02 to $43.65.

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 $0 · 10th to 90th $0 to $0Professionalmedian $41 · 10th to 90th $28 to $60
$0.1$1$10$100facility $0professional $41

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.50
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.17
Median
$4.90
Typical High
$4.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.75
Median
$3.24
Typical High
$3.24
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$43.65
Typical High
$66.07

Where Louisiana 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.

Louisiana· 51st of 51

$30.90

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.