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Nationwide rates for HCPCS G0181

Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans

Facilitymedian $135 · 10th–90th $40$6460%10%20%10th90th$135Professionalmedian $102 · 10th–90th $83$1700%20%40%10th90th$102$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $102.33 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $134.90
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $117.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $165.96 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $54.95 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $234.42