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Brief Care Management Home Visit, 20 Minutes

New York 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 New York, 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 $52.48 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 9 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$44.67 to $60.26
FacilityA hospital or hospital-owned outpatient department$52.48$42.66 to $53.70

How much rates vary

Facilitymedian $52 · 10th to 90th $33 to $76Professionalmedian $51 · 10th to 90th $35 to $69
$100$1K$10Kfacility $52professional $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
$33.11
Median
$48.98
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$91.20
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
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
$45.71
Typical High
$56.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$204.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$104.71
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$45.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$85.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$138.04
Univera
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$52.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$83.18

Where New York sits

The same service costs 1.8 times more in North Dakota than in Louisiana. 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.

New York· 27th of 51

$51.29

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.