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Comprehensive Care Management Home Visit, 60 Minutes

South Dakota rates for HCPCS G0084

Comprehensive (60 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 Comprehensive Care Management Home Visit, 60 Minutes cost?

$186

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $166 to $209.

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.

How much rates vary

Professionalmedian $186 · 10th to 90th $141 to $275
$100$200professional $186

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
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$275.42

Where South Dakota sits

The same service costs 1.9 times more in North Dakota than in New Mexico. 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.

South Dakota· 5th of 51

$186

ND $295NM $151

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.