go back

Care Management Home Visit, New Patient, 75 Minutes

Massachusetts 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?

$209

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $224 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$195 to $251
FacilityA hospital or hospital-owned outpatient department$224$224 to $295

How much rates vary

Facilitymedian $224 · 10th to 90th $209 to $355Professionalmedian $209 · 10th to 90th $195 to $708
$100$200$500$1K$2K$5Kfacility $224professional $209

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
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$208.93
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$263.03
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$354.81
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$426.58
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$363.08
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$208.93
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$323.59
Typical High
$676.08
Well Sense
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$234.42
Typical High
$346.74
Well Sense
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$229.09

Where Massachusetts 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.

Massachusetts· 36th of 51

$209

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.