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Care Management Home Visit, New Patient, 60 Minutes

Massachusetts 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?

$170

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $166 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$148 to $200
FacilityA hospital or hospital-owned outpatient department$166$166 to $224

How much rates vary

Facilitymedian $166 · 10th to 90th $162 to $269Professionalmedian $170 · 10th to 90th $148 to $575
$100$200$500$1K$2K$5Kfacility $166professional $170

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$199.53
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$269.15
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$239.88
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$257.04
Typical High
$512.86
Well Sense
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$281.84
Well Sense
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$186.21

Where Massachusetts 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.

Massachusetts· 30th of 51

$170

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.