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Home Visit for Patient Assessment (BPCI Initiative)

Ohio 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.

Professionalmedian $44 · 10th–90th $40$660%50%10th90th$44$10.0$20.0$50.0$100.0

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$74.13