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Care Management Home Visit, New Patient, 20 Minutes

Ohio 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.

Facilitymedian $48 · 10th–90th $47$690%50%10th90th$48Professionalmedian $48 · 10th–90th $41$690%20%10th90th$48$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$47.86
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$93.33