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Care Management Home Visit, New Patient, 75 Minutes

New York 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.

Professionalmedian $209 · 10th–90th $141$2750%20%10th90th$209$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$371.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$457.09
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$363.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$512.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$363.08