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Care Management Home Visit, New Patient, 20 Minutes

Kentucky 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?

$42.66

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $32.36 to $47.86.

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 $48 · 10th to 90th $46 to $69Professionalmedian $43 · 10th to 90th $32 to $58
$50$100$200facility $48professional $43

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
$45.71
Median
$47.86
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$47.86
Typical High
$53.70
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$23.99
Typical High
$26.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.55
Typical High
$10.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$7.08
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$4.79
Typical High
$5.37
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$32.36
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$45.71
Typical High
$239.88
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$57.54
Typical High
$83.18

Where Kentucky 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.

Kentucky· 50th of 51

$42.66

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.