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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 July 2026.

Facilitymedian $275 · 10th–90th $245$3550%20%10th90th$275Professionalmedian $126 · 10th–90th $93$1620%10%20%10th90th$126$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$213.80