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Care Management Home Visit, New Patient, 60 Minutes

Washington 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?

$178

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $204 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$178$155 to $240
FacilityA hospital or hospital-owned outpatient department$204$162 to $257

How much rates vary

Facilitymedian $204 · 10th to 90th $151 to $347Professionalmedian $178 · 10th to 90th $141 to $339
$50$100$200$500$1Kfacility $204professional $178

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
$144.54
Median
$144.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$234.42
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$234.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$338.84

Where Washington sits

The same service costs 1.8 times more in North Dakota than in Louisiana. 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.

Washington· 5th of 51

$178

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.