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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 July 2026.

How much does Care Management Home Visit, New Patient, 60 Minutes cost?

$174

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $191 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 7 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$170$155 to $195
FacilityA hospital or hospital-owned outpatient department$191$182 to $302

How much rates vary

Facilitymedian $191 · 10th to 90th $145 to $794Professionalmedian $170 · 10th to 90th $145 to $302
$200$500$1Kfacility $191professional $170

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$302.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$223.87

Where Iowa sits

The same service costs 1.8 times more in North Dakota than in Louisiana. 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· 16th of 51

$174

ND $269LA $148

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.