go back

Brief Care Management Home Visit, 20 Minutes

South Carolina 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 physician fee. In South Carolina, October 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $48.98 to $53.70.

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.

How much rates vary

Facilitymedian $51 · 10th to 90th $49 to $135Professionalmedian $49 · 10th to 90th $43 to $66
$50$100facility $51professional $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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$24.55
Median
$24.55
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$10.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.41
Median
$7.41
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.90
Median
$4.90
Typical High
$5.25
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
BCBS South Carolina
Setting
Professional
Modifier
29
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Medcost
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$54.95
Typical High
$134.90
Medcost
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$54.95
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$57.54
Typical High
$81.28

Where South Carolina 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.

South Carolina· 39th 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.