go back

Care Management Home Visit, New Patient, 20 Minutes

North Carolina 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?

$52.48

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $52.48 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$52.48$47.86 to $61.66
FacilityA hospital or hospital-owned outpatient department$52.48$47.86 to $60.26

How much rates vary

Facilitymedian $52 · 10th to 90th $43 to $71Professionalmedian $52 · 10th to 90th $44 to $89
$50$100$200facility $52professional $52

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$100.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$398.11

Where North Carolina 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.

North Carolina· 18th of 51

$52.48

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.