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Care Management Home Visit, New Patient, 45 Minutes

North Dakota 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?

$204

Typical physician fee. In North Dakota, July 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $129 to $251.

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.

How much rates vary

Facilitymedian $129 · 10th to 90th $120 to $132Professionalmedian $204 · 10th to 90th $120 to $282
$100.0$200.0$500.0facility $129professional $204

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
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$323.59

Where North Dakota 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.

North Dakota $204 · 1st 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.