go back

Care Management Home Visit, New Patient, 60 Minutes

Missouri 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 physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $158 to $191.

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.

How much rates vary

Facilitymedian $437 · 10th to 90th $162 to $794Professionalmedian $162 · 10th to 90th $148 to $275
$200$500$1Kfacility $437professional $162

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
$147.91
Median
$147.91
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$151.36
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$75.86
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$30.90
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.39
Median
$22.91
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$15.14
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$162.18
Typical High
$199.53
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$177.83
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$630.96
Typical High
$794.33
Medica
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$213.80
Typical High
$302.00

Where Missouri 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.

Missouri· 37th 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.