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Care Management Home Visit, New Patient, 45 Minutes

Indiana 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?

$117

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $240 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$100 to $126
FacilityA hospital or hospital-owned outpatient department$240$126 to $912

How much rates vary

Facilitymedian $240 · 10th to 90th $117 to $955Professionalmedian $117 · 10th to 90th $100 to $126
$100$200$500$1K$2Kfacility $240professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$23.44
Typical High
$24.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.38
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$11.75
Typical High
$12.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$165.96
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$120.23
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$134.90
Typical High
$190.55

Where Indiana 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.

Indiana· 44th of 51

$117

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.