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Care Management Home Visit, New Patient, 45 Minutes

Iowa 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?

$141

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $132 to $182.

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.

How much rates vary

Facilitymedian $229 · 10th to 90th $129 to $603Professionalmedian $141 · 10th to 90th $129 to $182
$100$200$500facility $229professional $141

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$12.88
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$181.97
Typical High
$181.97
Hally Health
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$104.71
Typical High
$123.03
Medica
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$229.09
Typical High
$602.56
Medica
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$173.78
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25

Where Iowa 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.

Iowa· 15th of 51

$141

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.