go back

Care Management Home Visit, New Patient, 20 Minutes

Idaho 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 negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $48.98 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 8 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$48.98$46.77 to $69.18
FacilityA hospital or hospital-owned outpatient department$48.98$47.86 to $57.54

How much rates vary

Facilitymedian $49 · 10th to 90th $44 to $69Professionalmedian $49 · 10th to 90th $44 to $81
$50$100facility $49professional $49

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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$123.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$97.72

Where Idaho 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.

Idaho· 41st 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.