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Care Management Home Visit, New Patient, 20 Minutes

Colorado 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?

$50.12

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $54.95 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 7 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$50.12$43.65 to $54.95
FacilityA hospital or hospital-owned outpatient department$54.95$48.98 to $60.26

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $78Professionalmedian $50 · 10th to 90th $35 to $63
$50$100facility $55professional $50

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
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$128.82

Where Colorado 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.

Colorado· 33rd of 51

$50.12

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.