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Care Management Home Visit, New Patient, 45 Minutes

Nationwide rates for HCPCS G0078

Moderate (45 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.

Facilitymedian $162 · 10th–90th $112$3800%20%40%10th90th$162Professionalmedian $123 · 10th–90th $91$1740%50%10th90th$123$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$380.19
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$263.03