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Care Management Home Visit, New Patient, 20 Minutes

Missouri 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?

$50.12

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $47.86 to $57.54.

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

Facilitymedian $132 · 10th to 90th $50 to $245Professionalmedian $50 · 10th to 90th $45 to $83
$50$100$200facility $132professional $50

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
$44.67
Median
$44.67
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$47.86
Typical High
$56.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.39
Median
$23.99
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.55
Typical High
$11.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.76
Median
$7.08
Typical High
$8.32
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$4.79
Typical High
$5.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$50.12
Typical High
$60.26
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$66.07
Typical High
$109.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Medica
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$190.55
Typical High
$245.47
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$66.07
Typical High
$91.20

Where Missouri 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.

Missouri· 38th of 51

$50.12

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.