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Care Management Home Visit, New Patient, 45 Minutes

Arizona 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.

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

$120

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $182 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 5 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$120$102 to $135
FacilityA hospital or hospital-owned outpatient department$182$123 to $513

How much rates vary

Facilitymedian $182 · 10th to 90th $107 to $741Professionalmedian $120 · 10th to 90th $79 to $155
$100.0$200.0$500.0$1.0Kfacility $182professional $120

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$501.19
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$229.09

Where Arizona sits

The same service costs 1.8 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $120 · 36th of 51
ND $204LA $112

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.