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Home Visit for Patient Assessment (BPCI Initiative)

Wisconsin 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 $52 · 10th–90th $41$1550%20%40%10th90th$52$50.0$100.0$200.0

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
$40.74
Median
$40.74
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$81.28
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$66.07
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$77.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$162.18
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Security Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$77.62
Typical High
$123.03