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Home Visit for Patient Assessment (BPCI Initiative)

South Dakota 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?

$75.86

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $64.57 to $79.43.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $45 to $141Professionalmedian $71 · 10th to 90th $54 to $87
$50$100$200facility $89professional $71

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
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$67.61
Typical High
$67.61
Medica
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$89.13
Typical High
$141.25
Medica
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$85.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$67.61
Typical High
$75.86
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$93.33
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$85.11
Wellmark
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$77.62

Where South Dakota 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.

South Dakota· 6th of 51

$75.86

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.