go back

Brief Care Management Home Visit, 20 Minutes

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $46.77 to $58.88.

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 $52 · 10th to 90th $40 to $89Professionalmedian $52 · 10th to 90th $44 to $78
$50$100facility $52professional $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. 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
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$87.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$74.13

Where South Dakota 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.

South Dakota· 19th of 51

$52.48

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.