Tynbil: Know the *real* price for healthcare services

Tennessee rates for HCPCS G9987

Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a BPCI Advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $38.81 / $56.77	Facility	$32.44	$38.81	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $38.86 / $44.89	Professional	$32.44	$38.86	$44.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Professional	$42.56	$42.56	$42.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $252.67 / $255.79	Facility	$87.86	$252.67	$255.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $290.08 / $403.65	Professional	$290.08	$290.08	$403.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $47.33 / $104.30	Professional	$39.04	$47.33	$104.30