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Care Management Home Visit, New Patient, 60 Minutes

New York 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 New York, 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 $174 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 9 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$148 to $195
FacilityA hospital or hospital-owned outpatient department$174$141 to $178

How much rates vary

Facilitymedian $174 · 10th to 90th $110 to $251Professionalmedian $170 · 10th to 90th $115 to $229
$10.0$100.0$1.0K$10.0Kfacility $174professional $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
$109.65
Median
$158.49
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$302.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$338.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$151.36
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$281.84
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$407.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$173.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$275.42

Where New York sits

The same service costs 1.8 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $170 · 23rd of 51
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.