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Moderate Care Management Home Visit, 45 Minutes

Idaho 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?

$174

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $135 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$112 to $182
FacilityA hospital or hospital-owned outpatient department$135$123 to $151

How much rates vary

Facilitymedian $135 · 10th to 90th $112 to $209Professionalmedian $174 · 10th to 90th $112 to $186
$100$200facility $135professional $174

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
Professional
Modifier
None
Typical Low
$102.33
Median
$112.20
Typical High
$112.20
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$112.20
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$218.78
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$158.49
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
Select Health
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$123.03
Typical High
$125.89
Select Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$123.03
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$229.09
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$123.03
Median
$123.03
Typical High
$151.36

Where Idaho 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.

Idaho· 6th of 51

$174

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.