go back

Care Management Home Visit, New Patient, 60 Minutes

Oklahoma 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?

$162

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $209 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 4 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$158$145 to $178
FacilityA hospital or hospital-owned outpatient department$209$204 to $209

How much rates vary

Facilitymedian $209 · 10th to 90th $148 to $263Professionalmedian $158 · 10th to 90th $115 to $209
$100$200$500facility $209professional $158

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
$204.17
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$257.04

Where Oklahoma 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.

Oklahoma· 33rd of 51

$162

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.