go back

Care Management Home Visit, New Patient, 75 Minutes

Iowa 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?

$251

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $229 to $324.

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 $389 · 10th to 90th $219 to $1,047Professionalmedian $251 · 10th to 90th $219 to $324
$200$500$1Kfacility $389professional $251

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
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$31.62
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$323.59
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$177.83
Typical High
$208.93
Medica
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$389.05
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$478.63
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$295.12
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19

Where Iowa 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.

Iowa· 13th of 51

$251

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.