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Moderate Care Management Home Visit, 45 Minutes

Texas 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?

$100

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $102 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$100$81.28 to $120
FacilityA hospital or hospital-owned outpatient department$102$81.28 to $129

How much rates vary

Facilitymedian $102 · 10th to 90th $72 to $151Professionalmedian $100 · 10th to 90th $18 to $794
$20$50$100$200$500$1Kfacility $102professional $100

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
$72.44
Median
$72.44
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$120.23
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$109.65
Typical High
$147.91
Moda Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$120.23
Molina
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$97.72
Typical High
$109.65
Providence
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$125.89
Typical High
$169.82
Providence
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$131.83
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Texas 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.

Texas· 49th of 51

$100

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.