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Care Management Home Visit, New Patient, 20 Minutes

Iowa 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?

$52.48

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $58.88 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$52.48$46.77 to $58.88
FacilityA hospital or hospital-owned outpatient department$58.88$56.23 to $91.20

How much rates vary

Facilitymedian $59 · 10th to 90th $44 to $245Professionalmedian $52 · 10th to 90th $44 to $91
$50$100$200facility $59professional $52

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$91.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$63.10
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$67.61

Where Iowa 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.

Iowa· 12th of 51

$52.48

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.