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Care Management Home Visit, New Patient, 45 Minutes

New Jersey 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?

$123

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $112 to $138.

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 $123 · 10th to 90th $123 to $123Professionalmedian $123 · 10th to 90th $98 to $145
$50.0$100.0$200.0$500.0$1.0Kfacility $123professional $123

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. 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
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$169.82
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$239.88

Where New Jersey 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.

New Jersey $123 · 19th 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.