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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 October 2026.

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

$57.54

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $56.23 to $74.13.

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.

How much rates vary

Facilitymedian $95 · 10th to 90th $52 to $245Professionalmedian $58 · 10th to 90th $52 to $78
$50$100$200facility $95professional $58

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.59
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.01
Median
$5.25
Typical High
$5.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$74.13
Typical High
$74.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$50.12
Typical High
$72.44
Medica
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$97.72
Typical High
$245.47
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$117.49
Typical High
$331.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$72.44
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54

Where Iowa 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.

Iowa· 15th of 51

$57.54

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.