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 high 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, 60 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, 60 Minutes (BPCI Advanced) cost?
$158
Typical physician fee. In Tennessee, July 2026.
Insurers have agreed to pay about $158 for this service. Most negotiated rates run $138 to $170.
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 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $229 · 10th to 90th $158 to $1,072Professionalmedian $158 · 10th to 90th $132 to $191
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$229.09
Facility
Global
$131.83
$158.49
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$169.82
Professional
Global
$131.83
$154.88
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Professional
Global
$208.93
$208.93
$208.93
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Facility
Global
$1,071.52
$1,071.52
$1,071.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$1,737.80
Professional
Global
$1,202.26
$1,737.80
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$302.00
Professional
Global
$144.54
$190.55
$302.00
Where Tennessee sits
The same service costs 2.2 times more in Minnesota than in Delaware. 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.