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Remote In-Home Visit, New, 45 Minutes (BPCI Advanced)

Colorado rates for HCPCS G9981

Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires these three key components: a comprehensive history; a comprehensive 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, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Rates data updated July 2026.

How much does Remote In-Home Visit, New, 45 Minutes (BPCI Advanced) cost?

$115

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $129 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$102 to $129
FacilityA hospital or hospital-owned outpatient department$129$115 to $151

How much rates vary

Facilitymedian $129 · 10th to 90th $102 to $195Professionalmedian $115 · 10th to 90th $98 to $148
$100.0$200.0$500.0facility $129professional $115

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$199.53
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$371.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$208.93
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$302.00

Where Colorado sits

The same service costs 2.3 times more in North Dakota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $115 · 30th of 51
ND $245DE $105

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.