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Care Management Home Visit, New Patient, 75 Minutes

Ohio 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?

$200

Typical physician fee. In Ohio, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $195 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $200 · 10th to 90th $166 to $282
$5.0$20.0$100.0$500.0professional $200

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
$147.91
Median
$199.53
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$380.19

Where Ohio 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.

Ohio $200 · 45th 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.