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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 October 2026.

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

$120

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $132 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$117 to $148
FacilityA hospital or hospital-owned outpatient department$132$132 to $174

How much rates vary

Facilitymedian $132 · 10th to 90th $123 to $209Professionalmedian $120 · 10th to 90th $117 to $407
$100$200$500$1K$2K$5Kfacility $132professional $120

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$123.03
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$154.88
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$208.93
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$190.55
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$213.80
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$123.03
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$794.33
Typical High
$794.33
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$190.55
Typical High
$407.38
Well Sense
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$131.83
Typical High
$204.17
Well Sense
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$131.83

Where Massachusetts 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.

Massachusetts· 39th of 51

$120

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.