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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 October 2026.

How much does Care Management Home Visit, New Patient, 45 Minutes cost?

$123

Typical negotiated rate. In Michigan, October 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 $324 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$117 to $178
FacilityA hospital or hospital-owned outpatient department$324$123 to $380

How much rates vary

Facilitymedian $324 · 10th to 90th $117 to $380Professionalmedian $123 · 10th to 90th $117 to $186
$200facility $324professional $123

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
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$131.83
Typical High
$204.17
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$346.74
Typical High
$380.19
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$138.04
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$61.66
Typical High
$61.66
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$18.62
Typical High
$18.62
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Priority Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$131.83
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$177.83

Where Michigan 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.

Michigan· 34th of 51

$123

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.