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Care Management Home Visit, New Patient, 20 Minutes

Utah 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?

$52.48

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $43.65 to $63.10.

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 $69 · 10th to 90th $69 to $69Professionalmedian $52 · 10th to 90th $39 to $69
$50$100facility $69professional $52

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$69.18
Cigna
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
$123.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$69.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$72.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$91.20

Where Utah 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.

Utah· 15th of 51

$52.48

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.