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Care Management Home Visit, New Patient, 20 Minutes

Illinois 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?

$48.98

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $47.86 to $48.98.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $49 · 10th to 90th $48 to $100Professionalmedian $49 · 10th to 90th $45 to $62
$50$100facility $49professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$47.86
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.90
Typical High
$4.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$74.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$48.98
Typical High
$95.50
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$61.66
Typical High
$64.57
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$64.57
Typical High
$102.33

Where Illinois 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.

Illinois· 41st of 51

$48.98

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.