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Brief Care Management Home Visit, 20 Minutes

Colorado rates for HCPCS G0081

Brief (20 minutes) care management home visit for an existing 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 Brief Care Management Home Visit, 20 Minutes cost?

$48.98

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $53.70 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$48.98$43.65 to $54.95
FacilityA hospital or hospital-owned outpatient department$53.70$47.86 to $60.26

How much rates vary

Facilitymedian $54 · 10th to 90th $44 to $78Professionalmedian $49 · 10th to 90th $35 to $63
$50$100facility $54professional $49

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
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$61.66
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$72.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$128.82

Where Colorado sits

The same service costs 1.8 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.

Colorado· 39th of 51

$48.98

ND $81.28LA $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.