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Care Management Home Visit, New Patient, 20 Minutes

Rhode Island 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?

$43.65

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $38.90 to $69.18.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $100 to $151Professionalmedian $44 · 10th to 90th $39 to $69
$50$100facility $117professional $44

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
Professional
Modifier
None
Typical Low
$51.29
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$6.92
Typical High
$6.92
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$151.36
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$67.61
Typical High
$97.72

Where Rhode Island 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.

Rhode Island· 49th of 51

$43.65

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.