Home Visit for Patient Assessment (BPCI Initiative)

West Virginia 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?

$39.81

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $39.81 to $39.81.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $69 to $69Professionalmedian $40 · 10th to 90th $32 to $49

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81	Professional	None	$39.81	$39.81	$39.81
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18	Facility	None	$69.18	$69.18	$69.18
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77	Professional	None	$46.77	$46.77	$46.77
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $81.28	Professional	None	$27.54	$39.81	$81.28

Where West Virginia 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.

West Virginia· 50th of 51

$39.81

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.