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Physician or Practitioner Supervision of Home Health Care

New York 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?

$100

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $85.11 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$100$83.18 to $132
FacilityA hospital or hospital-owned outpatient department$85.11$54.95 to $115

How much rates vary

Facilitymedian $85 · 10th to 90th $1 to $148Professionalmedian $100 · 10th to 90th $65 to $174
$1$5$20$100facility $85professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$245.47
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$81.28
Typical High
$114.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$114.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$218.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$114.82

Where New York 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.

New York· 42nd of 51

$100

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.