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Care Management Home Visit, New Patient, 60 Minutes

Michigan 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?

$162

Typical negotiated rate. In Michigan, October 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 $447 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$155 to $240
FacilityA hospital or hospital-owned outpatient department$447$162 to $525

How much rates vary

Facilitymedian $447 · 10th to 90th $155 to $537Professionalmedian $162 · 10th to 90th $155 to $251
$200$500facility $447professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$288.40
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$489.78
Typical High
$537.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$24.55
Typical High
$24.55
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Priority Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$288.40
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$251.19

Where Michigan 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.

Michigan· 38th of 51

$162

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.