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Care Management Home Visit, New Patient, 60 Minutes

Florida rates for HCPCS G0079

Comprehensive (60 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, 60 Minutes cost?

$162

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $138 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$138 to $178
FacilityA hospital or hospital-owned outpatient department$138$135 to $170

How much rates vary

Facilitymedian $138 · 10th to 90th $132 to $174Professionalmedian $162 · 10th to 90th $117 to $282
$100$200facility $138professional $162

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$154.88
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$79.43
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$31.62
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$23.99
Typical High
$26.92
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$15.85
Typical High
$18.20
AvMed
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$138.04
Typical High
$173.78
AvMed
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$120.23
Molina
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$177.83
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Florida sits

The same service costs 2.3 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.

Florida· 40th of 51

$162

AK $302AZ $132

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.