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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 July 2026.

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

$214

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $186 to $257.

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.

How much rates vary

Professionalmedian $214 · 10th to 90th $145 to $562
$100.0$200.0$500.0$1.0K$2.0Kprofessional $214

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
$147.91
Median
$208.93
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$851.14
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$363.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$562.34

Where California sits

The same service costs 1.9 times more in North Dakota than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $214 · 14th of 51
ND $355NM $186

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.