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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 October 2026.

How much does Moderate Care Management Home Visit, 45 Minutes cost?

$132

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

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $123 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

Facilitymedian $132 · 10th to 90th $132 to $132Professionalmedian $132 · 10th to 90th $93 to $132
$100$200facility $132professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$107.15
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$154.88
Typical High
$302.00

Where Washington, DC sits

The same service costs 2.2 times more in Alaska than in Kentucky. 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· 20th of 51

$132

AK $224KY $100

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.