go back

Remote In-Home Visit, Existing, 40 Minutes (BPCI Advanced)

Connecticut rates for HCPCS G9986

Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care, which requires at least two of the following 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, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Rates data updated October 2026.

How much does Remote In-Home Visit, Existing, 40 Minutes (BPCI Advanced) cost?

$135

Typical physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $81.28 to $135.

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

Professionalmedian $135 · 10th to 90th $81 to $135
$100professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.78
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$13.49
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$147.91
Typical High
$218.78

Where Connecticut sits

The same service costs 2.8 times more in North Dakota than in New York. 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.

Connecticut· 15th of 51

$135

ND $257NY $93.33

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.