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Care Management Home Visit, New Patient, 20 Minutes

Michigan 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?

$51.29

Typical negotiated rate. In Michigan, July 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 $48.98 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 6 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$51.29$47.86 to $57.54
FacilityA hospital or hospital-owned outpatient department$48.98$48.98 to $75.86

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $138Professionalmedian $51 · 10th to 90th $43 to $72
$50$100facility $49professional $51

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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$87.10
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$138.04
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$70.79
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$79.43

Where Michigan 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.

Michigan· 27th of 51

$51.29

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.