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Moderate Care Management Home Visit, 45 Minutes

Pennsylvania 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?

$120

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $110 to $129.

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.

How much rates vary

Professionalmedian $120 · 10th to 90th $85 to $141
$100$200$500professional $120

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
$81.28
Median
$120.23
Typical High
$141.25
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$154.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$141.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$239.88

Where Pennsylvania 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.

Pennsylvania· 38th of 51

$120

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.