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Care Management Home Visit, New Patient, 20 Minutes

Florida 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?

$47.86

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $41.69 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$41.69 to $53.70
FacilityA hospital or hospital-owned outpatient department$41.69$40.74 to $51.29

How much rates vary

Facilitymedian $42 · 10th to 90th $40 to $52Professionalmedian $48 · 10th to 90th $35 to $58
$50$100facility $42professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$47.86
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$47.86
Typical High
$54.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.62
Median
$23.99
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.41
Median
$9.55
Typical High
$10.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.50
Median
$7.24
Typical High
$8.32
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.72
Median
$4.79
Typical High
$5.50
AvMed
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$41.69
Typical High
$52.48
AvMed
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$48.98
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$36.31
Molina
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$70.79
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$53.70
Typical High
$91.20
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98

Where Florida 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.

Florida· 43rd of 51

$47.86

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.