Home Visit for Patient Assessment (BPCI Advanced)

Vermont 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

Rates data updated July 2026.

How much does Home Visit for Patient Assessment (BPCI Advanced) cost?

$45.71

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $38.90 to $53.70.

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 $46 · 10th to 90th $28 to $54

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 Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $28.18 Median $45.71 Typical High $53.70	Professional	Global	$28.18	$45.71	$53.70
Cigna Setting Professional Modifier Global Typical Low $46.77 Median $46.77 Typical High $58.88	Professional	Global	$46.77	$46.77	$58.88
MVP Health Care Setting Professional Modifier Global Typical Low $79.43 Median $79.43 Typical High $97.72	Professional	Global	$79.43	$79.43	$97.72
United Setting Professional Modifier Global Typical Low $52.48 Median $67.61 Typical High $114.82	Professional	Global	$52.48	$67.61	$114.82

Where Vermont sits

The same service costs 2.1 times more in North Dakota 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.

Vermont· 9th of 51

$45.71

ND $77.62DE $36.31

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.