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Care Management Home Visit, New Patient, 45 Minutes

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $123 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 6 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$123$115 to $135
FacilityA hospital or hospital-owned outpatient department$123$123 to $186

How much rates vary

Facilitymedian $123 · 10th to 90th $123 to $324Professionalmedian $123 · 10th to 90th $100 to $174
$100.0$200.0$500.0facility $123professional $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
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$204.17
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$323.59
Typical High
$380.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$165.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$186.21

Where Michigan 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.

Michigan $123 · 14th 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.