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Care Management Home Visit, New Patient, 60 Minutes

South Carolina 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?

$174

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $158 to $178.

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 $170 · 10th to 90th $151 to $214Professionalmedian $174 · 10th to 90th $138 to $195
$200facility $170professional $174

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
$165.96
Median
$165.96
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$309.03

Where South Carolina 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.

South Carolina· 14th of 51

$174

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.