Home Visit for Patient Assessment (BPCI Initiative)

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

Rates data updated July 2026.

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

$43.65

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $43.65 to $43.65.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $44 · 10th to 90th $44 to $58

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $43.65 Median $43.65 Typical High $57.54	Professional	Global	$43.65	$43.65	$57.54
BCBS Setting Professional Modifier Global Typical Low $30.90 Median $30.90 Typical High $30.90	Professional	Global	$30.90	$30.90	$30.90
Cigna Setting Professional Modifier Global Typical Low $46.77 Median $46.77 Typical High $67.61	Professional	Global	$46.77	$46.77	$67.61
United Setting Professional Modifier Global Typical Low $38.02 Median $47.86 Typical High $87.10	Professional	Global	$38.02	$47.86	$87.10

Where North Carolina sits

The same service costs 2.5 times more in Montana than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $43.65 · 38th of 51

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.