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Care Management Home Visit, New Patient, 45 Minutes

Nebraska 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?

$117

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $209 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$117$110 to $138
FacilityA hospital or hospital-owned outpatient department$209$132 to $229

How much rates vary

Facilitymedian $209 · 10th to 90th $117 to $363Professionalmedian $117 · 10th to 90th $78 to $288
$100.0$200.0$500.0facility $209professional $117

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
$117.49
Median
$117.49
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$331.13

Where Nebraska 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.

Nebraska $117 · 42nd 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.