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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.

How much does Care Management Home Visit, New Patient, 45 Minutes cost?

$126

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $120 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 $126 · 10th to 90th $93 to $162
$100.0$200.0$500.0facility $275professional $126

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
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

Where Rhode Island 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.

Rhode Island $126 · 10th 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.