Tynbil: Know the *real* price for healthcare services

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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $56.75 / $290.08	Professional	$56.75	$56.75	$290.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $67.50	Professional	$42.56	$42.56	$67.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $24.74 / $60.00	Professional	$18.71	$24.74	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $64.77 / $71.98	Professional	$64.77	$64.77	$71.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $51.30 / $67.65	Professional	$34.58	$51.30	$67.65