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Physician or Practitioner Supervision of Home Health Care

Massachusetts 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

Rates data updated July 2026.

How much does Physician or Practitioner Supervision of Home Health Care cost?

$97.72

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $97.72 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 7 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$97.72$97.72 to $123
FacilityA hospital or hospital-owned outpatient department$97.72$97.72 to $123

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $191Professionalmedian $98 · 10th to 90th $98 to $182
$1$5$20$100$500facility $98professional $98

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$134.90
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$645.65
Typical High
$645.65
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$144.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$169.82
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$194.98
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$645.65
Typical High
$645.65
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$269.15

Where Massachusetts sits

The same service costs 2.1 times more in Montana than in Louisiana. 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.

Massachusetts· 45th of 51

$97.72

MT $178LA $83.18

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.