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Brief Care Management Home Visit, 20 Minutes

Maine 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?

$52.48

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $45.71 to $61.66.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $52 · 10th to 90th $33 to $74
$50.0$100.0$200.0professional $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
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$102.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$104.71

Where Maine 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.

Maine $52.48 · 12th 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.