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Moderate Care Management Home Visit, 45 Minutes

Washington 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?

$170

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $115 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$170$112 to $170
FacilityA hospital or hospital-owned outpatient department$115$102 to $135

How much rates vary

Facilitymedian $115 · 10th to 90th $95 to $166Professionalmedian $170 · 10th to 90th $100 to $209
$50$100$200$500$1Kfacility $115professional $170

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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$165.96
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$114.82
Typical High
$134.90
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$794.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$144.54
Typical High
$190.55
Molina
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$141.25
Typical High
$234.42
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$199.53
Typical High
$380.19
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$186.21

Where Washington 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.

Washington· 7th of 51

$170

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.