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Care Management Home Visit, New Patient, 30 Minutes

Idaho rates for HCPCS G0077

Limited (30 minutes) care management home visit for a new patient. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Rates data updated July 2026.

How much does Care Management Home Visit, New Patient, 30 Minutes cost?

$74.13

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $72.44 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 8 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$74.13$67.61 to $100
FacilityA hospital or hospital-owned outpatient department$72.44$70.79 to $83.18

How much rates vary

Facilitymedian $72 · 10th to 90th $62 to $100Professionalmedian $74 · 10th to 90th $62 to $123
$50$100facility $72professional $74

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$123.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$186.21
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$141.25

Where Idaho sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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.

Idaho· 25th of 51

$74.13

ND $126LA $67.61

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.