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Care Management Home Visit, New Patient, 45 Minutes

Rhode Island 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?

$107

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $93.33 to $162.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $275 · 10th to 90th $245 to $355Professionalmedian $102 · 10th to 90th $93 to $162
$100$200facility $275professional $102

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
$123.03
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$16.22
Typical High
$16.22
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$354.81
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$162.18
Typical High
$229.09

Where Rhode Island 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.

Rhode Island· 48th of 51

$107

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.