Home Visit for Patient Assessment (BPCI Initiative)

Nebraska 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 October 2026.

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

$67.61

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $204 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$67.61	$48.98 to $100
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$204	$41.69 to $251

How much rates vary

Facilitymedian $204 · 10th to 90th $35 to $302Professionalmedian $68 · 10th to 90th $44 to $110

Distribution of negotiated rates across all payers (price axis is log-scale). 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 Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65	Facility	None	$43.65	$43.65	$43.65
Aetna Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $60.26	Professional	None	$42.66	$43.65	$60.26
BCBS Nebraska Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $562.34	Facility	None	$208.93	$275.42	$562.34
Cigna Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $83.18	Professional	None	$63.10	$67.61	$83.18
Medica Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $251.19	Facility	None	$35.48	$47.86	$251.19
Medica Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $128.82	Professional	None	$48.98	$72.44	$128.82
Midlands Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $104.71	Professional	None	$63.10	$67.61	$104.71
United Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $112.20	Professional	None	$48.98	$91.20	$112.20

Where Nebraska sits

The same service costs 4.9 times more in Alabama 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.

Nebraska· 10th of 51

$67.61

AL $151LA $30.90

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.