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Home Visit for Patient Assessment (BPCI Initiative)

Massachusetts 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 July 2026.

Professionalmedian $48 · 10th–90th $48$620%50%90th$48$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$67.61
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$83.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$83.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$114.82