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Care Management Home Visit, New Patient, 60 Minutes

Idaho 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?

$162

Typical negotiated rate. In Idaho, July 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 $162 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 8 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$162$155 to $229
FacilityA hospital or hospital-owned outpatient department$162$158 to $191

How much rates vary

Facilitymedian $162 · 10th to 90th $145 to $229Professionalmedian $162 · 10th to 90th $145 to $269
$50.0$100.0$200.0facility $162professional $162

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$269.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$323.59

Where Idaho 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.

Idaho $162 · 40th of 51
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.