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Care Management Home Visit, New Patient, 60 Minutes

Maryland 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?

$151

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $95.50 to $170.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $151 · 10th to 90th $95 to $182
$100$200professional $151

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
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$169.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$19.05
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$14.13
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.55
Median
$9.55
Typical High
$16.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$134.90
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$190.55
Typical High
$354.81
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$245.47
Typical High
$257.04

Where Maryland 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.

Maryland· 46th of 51

$151

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.