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Care Management Home Visit, New Patient, 60 Minutes

Virginia 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?

$170

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $200 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 7 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$170$155 to $195
FacilityA hospital or hospital-owned outpatient department$200$170 to $234

How much rates vary

Facilitymedian $200 · 10th to 90th $145 to $380Professionalmedian $170 · 10th to 90th $129 to $214
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $200professional $170

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
$169.82
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$239.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$380.19

Where Virginia 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.

Virginia $170 · 21st 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.