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Care Management Home Visit, New Patient, 45 Minutes

Arkansas 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?

$126

Typical physician fee. In Arkansas, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $126 to $170.

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 $126 · 10th to 90th $126 to $126Professionalmedian $126 · 10th to 90th $126 to $170
$100facility $126professional $126

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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$12.59
Typical High
$12.59
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$141.25
Typical High
$181.97

Where Arkansas 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.

Arkansas· 26th of 51

$126

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.