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Moderate Care Management Home Visit, 45 Minutes

South Dakota 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?

$155

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $141 to $195.

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

Facilitymedian $224 · 10th to 90th $129 to $224Professionalmedian $155 · 10th to 90th $132 to $204
$200$500facility $224professional $155

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
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$169.82
Typical High
$204.17
Medica
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$251.19
Typical High
$794.33
Midlands
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$154.88
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$223.87
Typical High
$251.19
Wellmark
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$194.98
Typical High
$194.98

Where South Dakota 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.

South Dakota· 8th of 51

$155

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.