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Brief Care Management Home Visit, 20 Minutes

Texas 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?

$47.86

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $50.12 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$47.86$42.66 to $54.95
FacilityA hospital or hospital-owned outpatient department$50.12$43.65 to $57.54

How much rates vary

Facilitymedian $50 · 10th to 90th $35 to $72Professionalmedian $48 · 10th to 90th $35 to $63
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $50professional $48

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
$30.90
Median
$43.65
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$61.66
Christus
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$389.05
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$69.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$89.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$85.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$66.07

Where Texas 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.

Texas $47.86 · 42nd 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.