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Remote In-Home Visit, Existing, 25 Minutes (CMMI)

Texas rates for HCPCS G9488

Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved CMS Innovation Center Demonstration Project, which requires at least two of the following three key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $45$1260%10%10th90th$60Professionalmedian $48 · 10th–90th $44$620%20%10th90th$48$50.0$100.0$200.0$500.0

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
Facility
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$47.86
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$46.77
Christus
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$107.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$107.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$95.50
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$74.13