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Care Management Home Visit, New Patient, 60 Minutes

Utah 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?

$162

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $155 to $182.

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 $229 · 10th to 90th $229 to $229Professionalmedian $162 · 10th to 90th $132 to $229
$100$200facility $229professional $162

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$162.18
Typical High
$181.97
Select Health
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Select Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$173.78
Typical High
$229.09
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$199.53
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$181.97
Typical High
$269.15

Where Utah 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.

Utah· 41st of 51

$162

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.