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Home Visit for Patient Assessment (BPCI Initiative)

Texas 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 $39 · 10th–90th $31$470%20%10th90th$39$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
$26.30
Median
$38.02
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$69.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$51.29