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Care Management Home Visit, New Patient, 45 Minutes

New Mexico 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?

$112

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $93.33 to $135.

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 $120 · 10th to 90th $91 to $151Professionalmedian $110 · 10th to 90th $87 to $162
$50.0$100.0$200.0$500.0facility $120professional $110

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$120.23
Typical High
$151.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$263.03

Where New Mexico 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 Mexico $112 · 50th 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.