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Comprehensive Care Management Home Visit, 60 Minutes

New Jersey rates for HCPCS G0084

Comprehensive (60 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 Comprehensive Care Management Home Visit, 60 Minutes cost?

$170

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $155 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $170 · 10th to 90th $135 to $200
$100$200professional $170

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
$123.03
Median
$169.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$263.03
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$338.84

Where New Jersey 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.

New Jersey· 37th of 51

$170

ND $295NM $151

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.