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Care Management Home Visit, New Patient, 45 Minutes

Washington 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?

$129

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $145 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$112 to $170
FacilityA hospital or hospital-owned outpatient department$145$117 to $186

How much rates vary

Facilitymedian $145 · 10th to 90th $107 to $245Professionalmedian $126 · 10th to 90th $100 to $251
$50.0$100.0$200.0$500.0facility $145professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$162.18
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$165.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$331.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$251.19

Where Washington 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.

Washington $129 · 7th 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.