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Care Management Home Visit, New Patient, 20 Minutes

South Dakota 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?

$53.70

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $53.70 for this service. Most negotiated rates run $47.86 to $58.88.

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.

How much rates vary

Facilitymedian $54 · 10th to 90th $41 to $91Professionalmedian $54 · 10th to 90th $44 to $79
$50$100facility $54professional $54

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. 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
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$87.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$134.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$74.13

Where South Dakota sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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.

South Dakota· 10th of 51

$53.70

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.