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Brief Care Management Home Visit, 20 Minutes

Iowa 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 October 2026.

How much does Brief Care Management Home Visit, 20 Minutes cost?

$57.54

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $56.23 to $74.13.

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 $98 · 10th to 90th $51 to $240Professionalmedian $58 · 10th to 90th $51 to $78
$50$100$200facility $98professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$24.55
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.41
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.90
Median
$5.13
Typical High
$5.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$74.13
Typical High
$74.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$42.66
Typical High
$69.18
Medica
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$97.72
Typical High
$239.88
Medica
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$117.49
Typical High
$338.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$72.44
Typical High
$128.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54

Where Iowa 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.

Iowa· 15th of 51

$57.54

AK $89.13AZ $39.81

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.