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Care Management Home Visit, New Patient, 45 Minutes

Florida 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?

$120

Typical negotiated rate. In Florida, October 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 $102 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$100 to $129
FacilityA hospital or hospital-owned outpatient department$102$100 to $123

How much rates vary

Facilitymedian $102 · 10th to 90th $98 to $129Professionalmedian $120 · 10th to 90th $87 to $275
$100$200facility $102professional $120

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
Facility
Modifier
None
Typical Low
$87.10
Median
$112.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$117.49
Typical High
$131.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$58.88
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.38
Median
$23.44
Typical High
$26.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$17.78
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$11.75
Typical High
$13.18
AvMed
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$128.82
AvMed
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$120.23
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$89.13
Molina
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$125.89
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where Florida 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.

Florida· 38th of 51

$120

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.