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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 October 2026.

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

$204

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $269 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$204$115 to $204
FacilityA hospital or hospital-owned outpatient department$269$219 to $363

How much rates vary

Facilitymedian $269 · 10th to 90th $204 to $575Professionalmedian $204 · 10th to 90th $115 to $324
$200$500facility $269professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$275.42
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$204.17
Typical High
$302.00
Medica
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$218.78
Typical High
$602.56
Medica
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$354.81
Typical High
$776.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$309.03
Typical High
$323.59
Midlands
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$239.88
Typical High
$371.54

Where Nebraska 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.

Nebraska· 3rd of 51

$204

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.