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Care Management Home Visit, New Patient, 75 Minutes

Illinois 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?

$209

Typical physician fee. In Illinois, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $191 to $224.

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

Professionalmedian $209 · 10th to 90th $166 to $245
$50.0$100.0$200.0$500.0$1.0Kprofessional $209

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
$165.96
Median
$208.93
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$257.04
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$407.38

Where Illinois sits

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.

Illinois $209 · 36th of 51
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.