Home Visit for Patient Assessment (BPCI Initiative)

Oklahoma 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?

$48.98

Typical physician fee. In Oklahoma, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $48.98 to $50.12.

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 $49 · 10th to 90th $38 to $51

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 $48.98 Median $50.12 Typical High $50.12	Professional	Global	$48.98	$50.12	$50.12
Cigna Setting Professional Modifier Global Typical Low $46.77 Median $46.77 Typical High $67.61	Professional	Global	$46.77	$46.77	$67.61
Medica Setting Professional Modifier Global Typical Low $33.11 Median $39.81 Typical High $63.10	Professional	Global	$33.11	$39.81	$63.10
United Setting Professional Modifier Global Typical Low $35.48 Median $39.81 Typical High $60.26	Professional	Global	$35.48	$39.81	$60.26

Where Oklahoma 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.

Oklahoma $48.98 · 17th 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.