go back

Care Management Home Visit, New Patient, 75 Minutes

Arizona 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 October 2026.

How much does Care Management Home Visit, New Patient, 75 Minutes cost?

$170

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $170 to $219.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $692 · 10th to 90th $178 to $1,230Professionalmedian $170 · 10th to 90th $115 to $380
$200$500$1Kfacility $692professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$33.88
Typical High
$40.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$25.70
Typical High
$30.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$16.98
Typical High
$20.42
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$758.58
Typical High
$1,230.27
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$239.88
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$371.54
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$218.78
Typical High
$354.81

Where Arizona sits

The same service costs 2.2 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.

Arizona· 51st of 51

$170

AK $380AZ $170

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.