go back

Care Management Home Visit, New Patient, 60 Minutes

New Mexico 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?

$209

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $200 to $209.

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

Facilitymedian $135 · 10th to 90th $135 to $135Professionalmedian $209 · 10th to 90th $135 to $234
$50$100$200facility $135professional $209

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.95
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$173.78
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$151.36
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$257.04
Typical High
$354.81

Where New Mexico 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.

New Mexico· 11th of 51

$209

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.