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Care Management Home Visit, New Patient, 45 Minutes

Alabama 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?

$151

Typical physician fee. In Alabama, October 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $123 to $155.

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

Facilitymedian $151 · 10th to 90th $151 to $151Professionalmedian $155 · 10th to 90th $110 to $155
$100facility $151professional $155

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.98
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.22
Median
$15.49
Typical High
$15.49
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$120.23
Typical High
$169.82

Where Alabama 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.

Alabama· 11th of 51

$151

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.