Tynbil: Know the *real* price for healthcare services

North Carolina 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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $43.65 / $47.51	Professional	$39.47	$43.65	$47.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Professional	$31.21	$31.21	$31.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $54.00 / $67.50	Professional	$42.56	$54.00	$67.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.21 / $44.21 / $44.21	Professional	$44.21	$44.21	$44.21
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $45.21 / $90.49	Professional	$35.36	$45.21	$90.49