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Moderate Care Management Home Visit, 45 Minutes

New York 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 New York, 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 $126 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$120$107 to $141
FacilityA hospital or hospital-owned outpatient department$126$126 to $126

How much rates vary

Facilitymedian $126 · 10th to 90th $115 to $132Professionalmedian $120 · 10th to 90th $78 to $148
$100$200$500facility $126professional $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
$77.62
Median
$100.00
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$147.91
CDPHP
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$218.78
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$269.15
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$112.20
Typical High
$134.90
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$134.90
Typical High
$295.12
Univera
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$131.83
Univera
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$112.20
Typical High
$134.90

Where New York 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.

New York· 38th 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.