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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 July 2026.

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

$174

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $148 to $214.

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 $174 · 10th to 90th $129 to $229
$50.0$100.0$200.0$500.0facility $229professional $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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$239.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$302.00

Where Utah 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.

Utah $174 · 15th 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.