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Care Management Home Visit, New Patient, 75 Minutes

Nationwide rates for HCPCS G0080

Extensive (75 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, 75 Minutes cost?

$214

Typical physician fee. Nationwide, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $191 to $240.

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 55 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $214 ยท 10th to 90th $155 to $302
$10.0$100.0$1.0K$10.0K$100.0Kprofessional $214

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
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$457.09

What it costs in each state

The same service costs 1.9 times more in North Dakota than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

ND $355NM $186

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.