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Extensive Care Management Home Visit, 75 Minutes

Alabama rates for HCPCS G0085

Extensive (75 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 October 2026.

How much does Extensive Care Management Home Visit, 75 Minutes cost?

$219

Typical physician fee. In Alabama, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $170 to $269.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $151 · 10th to 90th $151 to $151Professionalmedian $269 · 10th to 90th $186 to $269
$200facility $151professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.84
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$26.92
Typical High
$26.92
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$204.17
Typical High
$288.40

Where Alabama sits

The same service costs 2.2 times more in North Dakota than in Kentucky. 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.

Alabama· 24th of 51

$219

ND $380KY $170

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.