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Care Management Home Visit, New Patient, 20 Minutes

New Mexico 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?

$63.10

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $61.66 to $63.10.

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 $41 · 10th to 90th $41 to $41Professionalmedian $63 · 10th to 90th $41 to $71
$50$100facility $41professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.13
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.03
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.07
Median
$6.31
Typical High
$6.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$77.62
Typical High
$107.15

Where New Mexico 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.

New Mexico· 11th of 51

$63.10

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.