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Care Management Home Visit, New Patient, 45 Minutes

Maine 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?

$123

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $112 to $145.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $123 · 10th to 90th $78 to $178
$100.0$200.0$500.0professional $123

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$263.03

Where Maine 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.

Maine $123 · 13th 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.