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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 July 2026.

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

$174

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $170 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$174$158 to $214
FacilityA hospital or hospital-owned outpatient department$170$166 to $240

How much rates vary

Facilitymedian $170 · 10th to 90th $166 to $1,096Professionalmedian $174 · 10th to 90th $138 to $339
$100.0$1.0K$10.0Kfacility $170professional $174

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$204.17
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$537.03
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$407.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$457.09

Where Massachusetts 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.

Massachusetts $174 · 9th 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.