go back

Care Management Home Visit, New Patient, 60 Minutes

Oregon 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?

$240

Typical physician fee. In Oregon, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $234 to $269.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $331 · 10th to 90th $158 to $398Professionalmedian $240 · 10th to 90th $182 to $269
$100$200$500facility $331professional $240

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
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$316.23
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$331.13
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Providence
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$223.87
Typical High
$398.11
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$158.49
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$363.08
Typical High
$549.54

Where Oregon 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.

Oregon· 5th of 51

$240

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.