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Care Management Home Visit, New Patient, 45 Minutes

Georgia 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.

Facilitymedian $112 · 10th–90th $112$1120%50%$112Professionalmedian $123 · 10th–90th $98$1450%20%40%10th90th$123$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$275.42