go back

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 October 2026.

How much does Brief Care Management Home Visit, 20 Minutes cost?

$43.65

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $44.67 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$33.88 to $50.12
FacilityA hospital or hospital-owned outpatient department$44.67$35.48 to $54.95

How much rates vary

Facilitymedian $45 · 10th to 90th $31 to $63Professionalmedian $44 · 10th to 90th $31 to $339
$10$20$50$100$200facility $45professional $44

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
$30.90
Median
$30.90
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$38.90
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$19.50
Typical High
$25.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.17
Median
$7.76
Typical High
$10.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.68
Median
$5.75
Typical High
$7.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.09
Median
$3.89
Typical High
$5.01
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$46.77
Typical High
$58.88
Moda Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$38.90
Typical High
$50.12
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$19.50
Typical High
$25.12
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.17
Median
$7.76
Typical High
$10.00
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.68
Median
$5.75
Typical High
$7.41
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.09
Median
$3.89
Typical High
$5.01
Molina
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$33.88
Typical High
$37.15
Providence
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$48.98
Typical High
$72.44
Providence
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$57.54
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98

Where Texas 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.

Texas· 48th of 51

$43.65

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.