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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 July 2026.

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

$53.70

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $52.48 to $70.79.

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

Professionalmedian $54 · 10th to 90th $52 to $93
$50.0$100.0professional $54

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$125.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$67.61
Typical High
$69.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$77.62

Where South Dakota 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.

South Dakota $53.70 · 13th 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.