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Moderate Care Management Home Visit, 45 Minutes

Washington, DC rates for HCPCS G0083

Moderate (45 minutes) care management home visit for an existing 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 Moderate Care Management Home Visit, 45 Minutes cost?

$117

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $110 to $132.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $117 · 10th to 90th $83 to $141
$100professional $117

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
$83.18
Median
$117.49
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$269.15

Where Washington, DC sits

The same service costs 1.9 times more in North Dakota than in New Mexico. 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.

Washington, DC· 42nd of 51

$117

ND $209NM $110

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.