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Care Management Home Visit, New Patient, 45 Minutes

Minnesota 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?

$182

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $389 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$174$132 to $269
FacilityA hospital or hospital-owned outpatient department$389$219 to $759

How much rates vary

Facilitymedian $389 · 10th to 90th $135 to $1,000Professionalmedian $174 · 10th to 90th $120 to $355
$100.0$200.0$500.0$1.0K$2.0Kfacility $389professional $174

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$169.82
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$933.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$416.87

Where Minnesota 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.

Minnesota $182 · 2nd 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.