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Moderate Care Management Home Visit, 45 Minutes

Massachusetts 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?

$126

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $117 to $155.

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 $126 · 10th to 90th $98 to $263
$100$200$500professional $126

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
$85.11
Median
$123.03
Typical High
$154.88
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$134.90
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$316.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$363.08

Where Massachusetts 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.

Massachusetts· 16th of 51

$126

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.