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Care Management Home Visit, New Patient, 60 Minutes

Texas 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?

$158

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $166 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$158$141 to $178
FacilityA hospital or hospital-owned outpatient department$166$145 to $186

How much rates vary

Facilitymedian $166 · 10th to 90th $117 to $240Professionalmedian $158 · 10th to 90th $115 to $204
$50.0$100.0$200.0$500.0$1.0Kfacility $166professional $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
$102.33
Median
$144.54
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$199.53
Christus
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$218.78

Where Texas 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.

Texas $158 · 42nd 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.