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Care Management Home Visit, New Patient, 20 Minutes

Washington, DC 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 October 2026.

How much does Care Management Home Visit, New Patient, 20 Minutes cost?

$51.29

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $51.29 to $51.29.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $51 · 10th to 90th $51 to $51Professionalmedian $51 · 10th to 90th $40 to $54
$50$100facility $51professional $51

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$17.38
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.92
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.25
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.47
Median
$5.13
Typical High
$5.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$40.74
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$67.61
Typical High
$120.23

Where Washington, DC sits

The same service costs 2.2 times more in Alaska than in Arizona. 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, DC· 33rd of 51

$51.29

AK $91.20AZ $40.74

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.