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Care Management Home Visit, New Patient, 20 Minutes

Maine 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?

$52.48

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $37.15 to $52.48.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $52 · 10th to 90th $37 to $58
$50$100professional $52

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
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
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
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$77.62
Typical High
$100.00

Where Maine 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.

Maine· 25th of 51

$52.48

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.