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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 July 2026.

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

$170

Typical negotiated rate. In Michigan, July 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 $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 6 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$170$155 to $191
FacilityA hospital or hospital-owned outpatient department$162$162 to $251

How much rates vary

Facilitymedian $162 · 10th to 90th $162 to $447Professionalmedian $170 · 10th to 90th $141 to $240
$100$200$500facility $162professional $170

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$288.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$446.68
Typical High
$537.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$234.42
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$263.03

Where Michigan sits

The same service costs 1.8 times more in North Dakota than in Louisiana. 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· 26th of 51

$170

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.