go back

Care Management Home Visit, New Patient, 20 Minutes

Montana 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?

$53.70

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $85.11 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 5 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$48.98$43.65 to $70.79
FacilityA hospital or hospital-owned outpatient department$85.11$54.95 to $89.13

How much rates vary

Facilitymedian $85 · 10th to 90th $48 to $91Professionalmedian $49 · 10th to 90th $33 to $89
$50$100$200facility $85professional $49

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
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$109.65

Where Montana 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.

Montana· 9th of 51

$53.70

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.