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Home Visit for Patient Assessment (BPCI Initiative)

Maryland 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?

$46.77

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $38.90 to $52.48.

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

Professionalmedian $47 · 10th to 90th $28 to $71
$50$100professional $47

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
Professional
Modifier
None
Typical Low
$28.18
Median
$43.65
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$21.88
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$8.71
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.17
Median
$6.61
Typical High
$7.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.82
Median
$4.37
Typical High
$5.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$54.95
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$43.65
Typical High
$85.11
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$69.18
Typical High
$87.10

Where Maryland 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.

Maryland· 33rd of 51

$46.77

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.