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
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 | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $43.65 | $52.48 | |
Cigna
| Professional | $46.77 | $46.77 | $46.77 | |
Kaiser Permanente
| Professional | $46.77 | $54.95 | $72.44 | |
United
| Professional | $36.31 | $54.95 | $77.62 | |
Wellpoint
| Professional | $58.88 | $69.18 | $87.10 |