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Care Management Home Visit, New Patient, 45 Minutes

Alaska 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 October 2026.

How much does Care Management Home Visit, New Patient, 45 Minutes cost?

$224

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $240 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$224 to $490
FacilityA hospital or hospital-owned outpatient department$240$224 to $324

How much rates vary

Facilitymedian $240 · 10th to 90th $224 to $339Professionalmedian $224 · 10th to 90th $129 to $490
$100$200$500facility $240professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$63.10
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.59
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
Moda Health
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$112.20
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$45.71
Typical High
$45.71
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$33.88
Typical High
$33.88
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$22.39
Typical High
$22.39
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Providence
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$338.84
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$112.20
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$363.08
Typical High
$457.09

Where Alaska sits

The same service costs 2.2 times more in Alaska than in Arizona. 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.

Alaska· 1st of 51

$224

AK $224AZ $100

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.