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Brief Care Management Home Visit, 20 Minutes

Oregon 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 negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $53.70 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 7 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$52.48$46.77 to $75.86
FacilityA hospital or hospital-owned outpatient department$53.70$47.86 to $64.57

How much rates vary

Facilitymedian $54 · 10th to 90th $42 to $85Professionalmedian $52 · 10th to 90th $41 to $117
$50.0$100.0$200.0facility $54professional $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
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$47.86
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$117.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$125.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$114.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$138.04

Where Oregon 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.

Oregon $52.48 · 16th 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.