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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 July 2026.

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

$48.98

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

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $46.77 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 $48 · 10th to 90th $35 to $59
$50facility $51professional $48

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. 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
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$109.65

Where Washington, DC 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.

Washington, DC· 37th 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.