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Care Management Home Visit, New Patient, 30 Minutes

Virginia 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?

$77.62

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $87.10 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 7 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$75.86$69.18 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$75.86 to $102

How much rates vary

Facilitymedian $87 · 10th to 90th $66 to $166Professionalmedian $76 · 10th to 90th $59 to $98
$50$200$1K$5Kfacility $87professional $76

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
$77.62
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$97.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$165.96

Where Virginia 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.

Virginia· 10th of 51

$77.62

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.