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 | $43.65 | $45.71 | $45.71 | |
BCBS
| Professional | $93.33 | $107.15 | $123.03 | |
Cigna
| Professional | $53.70 | $54.95 | $69.18 | |
Medica
| Professional | $48.98 | $70.79 | $114.82 | |
United
| Professional | $58.88 | $89.13 | $107.15 |