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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 July 2026.

How much does Home Visit for Patient Assessment (BPCI Initiative) cost?

$45.71

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $40.74 to $48.98.

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 $46 · 10th to 90th $38 to $52
$50professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$77.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$87.10

Where Maryland sits

The same service costs 2.5 times more in Montana 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· 31st of 51

$45.71

MT $79.43LA $32.36

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.