go back

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.

How much does Care Management Home Visit, New Patient, 20 Minutes cost?

$47.86

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $47.86 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 7 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$47.86$46.77 to $54.95
FacilityA hospital or hospital-owned outpatient department$47.86$46.77 to $47.86

How much rates vary

Facilitymedian $48 · 10th to 90th $47 to $69Professionalmedian $48 · 10th to 90th $41 to $69
$1.0$5.0$20.0$100.0facility $48professional $48

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
$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

Where Ohio 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.

Ohio $47.86 · 47th 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.