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Care Management Home Visit, New Patient, 20 Minutes

Arizona rates for HCPCS G0076

Brief (20 minutes) care management home visit for a new 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 Care Management Home Visit, New Patient, 20 Minutes cost?

$48.98

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $75.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$43.65 to $54.95
FacilityA hospital or hospital-owned outpatient department$75.86$51.29 to $219

How much rates vary

Facilitymedian $76 · 10th to 90th $44 to $316Professionalmedian $49 · 10th to 90th $35 to $66
$50$100$200facility $76professional $49

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
$33.11
Median
$47.86
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$213.80
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$93.33

Where Arizona sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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.

Arizona· 39th of 51

$48.98

ND $83.18LA $44.67

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.