go back

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 July 2026.

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

$123

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $112 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 7 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$123$102 to $129
FacilityA hospital or hospital-owned outpatient department$112$102 to $132

How much rates vary

Facilitymedian $112 · 10th to 90th $87 to $132Professionalmedian $123 · 10th to 90th $87 to $145
$50.0$100.0$200.0$500.0facility $112professional $123

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
Facility
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$144.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$123.03
AvMed
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$218.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$125.89

Where Florida 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.

Florida $123 · 30th 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.