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Brief Care Management Home Visit, 20 Minutes

Vermont 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?

$64.57

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $52.48 to $64.57.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $65 · 10th to 90th $46 to $81
$50$100professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$6.46
Typical High
$6.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$83.18
Typical High
$141.25

Where Vermont 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.

Vermont· 10th of 51

$64.57

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.