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Brief Care Management Home Visit, 20 Minutes

Michigan 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?

$48.98

Typical negotiated rate. In Michigan, October 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 $138 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$46.77 to $72.44
FacilityA hospital or hospital-owned outpatient department$138$47.86 to $158

How much rates vary

Facilitymedian $138 · 10th to 90th $47 to $162Professionalmedian $49 · 10th to 90th $47 to $76
$50$100facility $138professional $49

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$53.70
Typical High
$87.10
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$147.91
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$48.98
Typical High
$58.88
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.55
Median
$9.77
Typical High
$9.77
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Priority Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$53.70
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$60.26
Typical High
$75.86

Where Michigan 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.

Michigan· 40th of 51

$48.98

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.