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Care Management Home Visit, New Patient, 20 Minutes

Massachusetts 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 Massachusetts, 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 $51.29 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$47.86 to $64.57
FacilityA hospital or hospital-owned outpatient department$51.29$50.12 to $74.13

How much rates vary

Facilitymedian $51 · 10th to 90th $50 to $331Professionalmedian $52 · 10th to 90th $41 to $102
$50$200$1K$5Kfacility $51professional $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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$51.29
Typical High
$64.57
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$162.18
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$97.72
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$123.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$138.04

Where Massachusetts 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.

Massachusetts· 17th 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.