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Care Management Home Visit, New Patient, 20 Minutes

Pennsylvania 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 $59 · 10th–90th $59$600%50%90th$59Professionalmedian $49 · 10th–90th $37$620%20%40%10th90th$49$50.0$200.0$1.0K$5.0K$20.0K

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$61.66
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$64.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$61.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$60.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$102.33