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Physician or Practitioner Supervision of Home Health Care

Virginia 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?

$120

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $107 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$120$112 to $120
FacilityA hospital or hospital-owned outpatient department$107$87.10 to $120

How much rates vary

Facilitymedian $107 · 10th to 90th $52 to $120Professionalmedian $120 · 10th to 90th $95 to $126
$50$100facility $107professional $120

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$120.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$120.23
Sentara
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$169.82

Where Virginia 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.

Virginia· 9th of 51

$120

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.