Home Visit for Patient Assessment (BPCI Initiative)

Vermont 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?

$57.54

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $47.86 to $57.54.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $58 · 10th to 90th $48 to $58

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $47.86 Median $57.54 Typical High $57.54	Professional	Global	$47.86	$57.54	$57.54
Cigna Setting Professional Modifier Global Typical Low $46.77 Median $46.77 Typical High $64.57	Professional	Global	$46.77	$46.77	$64.57
United Setting Professional Modifier Global Typical Low $42.66 Median $58.88 Typical High $70.79	Professional	Global	$42.66	$58.88	$70.79

Where Vermont sits

The same service costs 2.5 times more in Montana 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.

Vermont· 7th of 51

$57.54

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.