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Home Visit for Patient Assessment (BPCI Initiative)

New Mexico 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?

$51.29

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $42.66 to $61.66.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Facilitymedian $42 · 10th to 90th $33 to $51Professionalmedian $51 · 10th to 90th $43 to $74
$50$100facility $42professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$42.66
Typical High
$51.29
Providence
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$46.77
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$63.10
Typical High
$104.71

Where New Mexico 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.

New Mexico· 23rd of 51

$51.29

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.