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Care Management Home Visit, New Patient, 45 Minutes

Idaho 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?

$120

Typical negotiated rate. In Idaho, July 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 $120 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 8 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$120$112 to $155
FacilityA hospital or hospital-owned outpatient department$120$115 to $135

How much rates vary

Facilitymedian $120 · 10th to 90th $100 to $162Professionalmedian $120 · 10th to 90th $100 to $200
$50.0$100.0$200.0facility $120professional $120

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
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$229.09

Where Idaho 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.

Idaho $120 · 41st 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.