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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 July 2026.

Facilitymedian $145 · 10th–90th $100$6030%20%10th90th$145Professionalmedian $123 · 10th–90th $100$2240%20%10th90th$123$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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$165.96