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Care Management Home Visit, New Patient, 60 Minutes

Iowa 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?

$191

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $182 to $245.

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.

How much rates vary

Facilitymedian $316 · 10th to 90th $170 to $794Professionalmedian $191 · 10th to 90th $170 to $257
$200$500$1Kfacility $316professional $191

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.98
Typical High
$16.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$245.47
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$138.04
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$316.23
Typical High
$794.33
Medica
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$389.05
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$239.88
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55

Where Iowa 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.

Iowa· 15th of 51

$191

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.