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Brief Care Management Home Visit, 20 Minutes

Washington 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?

$54.95

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $61.66 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$53.70$46.77 to $72.44
FacilityA hospital or hospital-owned outpatient department$61.66$50.12 to $79.43

How much rates vary

Facilitymedian $62 · 10th to 90th $46 to $105Professionalmedian $54 · 10th to 90th $43 to $105
$50.0$100.0$200.0facility $62professional $54

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
$43.65
Median
$43.65
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$70.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$70.79
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$53.70
Typical High
$102.33

Where Washington 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.

Washington $54.95 · 4th 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.