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Brief Care Management Home Visit, 20 Minutes

Kentucky 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?

$47.86

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $41.69 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 5 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$47.86$42.66 to $52.48
FacilityA hospital or hospital-owned outpatient department$41.69$41.69 to $69.18

How much rates vary

Facilitymedian $42 · 10th to 90th $42 to $69Professionalmedian $48 · 10th to 90th $35 to $58
$50.0$100.0$200.0facility $42professional $48

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
$41.69
Median
$41.69
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$89.13

Where Kentucky sits

The same service costs 1.8 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $47.86 · 44th of 51
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.