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Brief Care Management Home Visit, 20 Minutes

Ohio 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?

$46.77

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $38.90 to $52.48.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $120Professionalmedian $47 · 10th to 90th $34 to $58
$50$100facility $47professional $47

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
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$23.44
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$9.33
Typical High
$10.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$5.25
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$33.88
Typical High
$48.98
SummaCare
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$47.86
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$58.88
Typical High
$97.72

Where Ohio 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.

Ohio· 45th of 51

$46.77

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.