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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 October 2026.

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

$51.29

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $50.12 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$51.29$44.67 to $61.66
FacilityA hospital or hospital-owned outpatient department$50.12$50.12 to $69.18

How much rates vary

Facilitymedian $50 · 10th to 90th $50 to $81Professionalmedian $51 · 10th to 90th $45 to $178
$50$100$200$500$1K$2K$5Kfacility $50professional $51

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$47.86
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$63.10
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$81.28
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$72.44
Typical High
$97.72
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$85.11
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$47.86
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$77.62
Typical High
$162.18
Well Sense
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$57.54
Typical High
$87.10
Well Sense
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$56.23

Where Massachusetts 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.

Massachusetts· 34th of 51

$51.29

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.