go back

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 July 2026.

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

$51.29

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $47.86 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 6 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$51.29$47.86 to $57.54
FacilityA hospital or hospital-owned outpatient department$47.86$47.86 to $75.86

How much rates vary

Facilitymedian $48 · 10th to 90th $48 to $138Professionalmedian $51 · 10th to 90th $43 to $72
$50.0$100.0$200.0facility $48professional $51

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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$87.10
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$138.04
Typical High
$162.18
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$70.79
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$79.43

Where Michigan 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.

Michigan $51.29 · 25th 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.