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Care Management Home Visit, New Patient, 20 Minutes

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $46.77 to $58.88.

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.

How much rates vary

Facilitymedian $52 · 10th to 90th $52 to $52Professionalmedian $52 · 10th to 90th $41 to $62
$50.0$100.0$200.0facility $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. Small sample; interpret with caution. 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
$38.02
Median
$50.12
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$102.33

Where New Jersey sits

The same service costs 1.9 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $52.48 · 13th of 51
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.