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Home Visit for Patient Assessment (BPCI Initiative)

Utah 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?

$56.23

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $56.23 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$40.74 to $58.88
FacilityA hospital or hospital-owned outpatient department$56.23$56.23 to $66.07

How much rates vary

Facilitymedian $56 · 10th to 90th $56 to $81Professionalmedian $48 · 10th to 90th $30 to $68
$20$50$100facility $56professional $48

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$67.61
Molina
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$25.70
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$66.07
Typical High
$83.18
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$95.50
Select Health
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Select Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$46.77
Typical High
$53.70
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$41.69
Typical High
$67.61

Where Utah 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.

Utah· 15th of 51

$56.23

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.