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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 October 2026.

How much does Care Management Home Visit, New Patient, 60 Minutes cost?

$135

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $145 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$115 to $151
FacilityA hospital or hospital-owned outpatient department$145$115 to $182

How much rates vary

Facilitymedian $145 · 10th to 90th $102 to $209Professionalmedian $135 · 10th to 90th $23 to $1,096
$20$50$100$200$500$1Kfacility $145professional $135

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
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$125.89
Typical High
$165.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$63.10
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$25.70
Typical High
$33.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$19.05
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$12.59
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,348.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$154.88
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$125.89
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$63.10
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$25.70
Typical High
$33.11
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$19.05
Typical High
$24.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$12.59
Typical High
$16.22
Molina
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$128.82
Typical High
$144.54
Providence
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$162.18
Typical High
$234.42
Providence
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$186.21
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Texas 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.

Texas· 50th of 51

$135

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.