go back

Moderate Care Management Home Visit, 45 Minutes

Virginia 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?

$126

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $112 to $141.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $126 · 10th to 90th $98 to $162
$100$200professional $126

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
$85.11
Median
$123.03
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$169.82
Sentara
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$269.15

Where Virginia 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.

Virginia· 12th of 51

$126

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.