go back

Extensive Care Management Home Visit, 75 Minutes

California 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?

$229

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $275 from a hospital or other facility.

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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$191 to $339
FacilityA hospital or hospital-owned outpatient department$275$229 to $324

How much rates vary

Facilitymedian $275 · 10th to 90th $219 to $871Professionalmedian $229 · 10th to 90th $174 to $1,349
$200$500$1Kfacility $275professional $229

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
Facility
Modifier
None
Typical Low
$186.21
Median
$190.55
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$190.55
Typical High
$223.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$95.50
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$38.02
Typical High
$44.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$28.84
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$19.05
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$288.40
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$234.42
Typical High
$870.96
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$281.84
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$204.17
Typical High
$275.42
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$275.42
Typical High
$407.38
Providence
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$223.87
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$549.54

Where California 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.

California· 17th of 51

$229

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.