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Care Management Home Visit, New Patient, 45 Minutes

Oregon 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?

$178

Typical physician fee. In Oregon, October 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $162 to $204.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $115 to $302Professionalmedian $174 · 10th to 90th $132 to $204
$100$200facility $234professional $174

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$229.09
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$234.42
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Providence
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$165.96
Typical High
$302.00
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$112.20
Typical High
$229.09
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$263.03
Typical High
$416.87

Where Oregon 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.

Oregon· 5th of 51

$178

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.