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Extensive Care Management Home Visit, 75 Minutes

Connecticut 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?

$214

Typical physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $209 to $263.

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

Professionalmedian $214 · 10th to 90th $209 to $263
$200professional $214

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
$245.47
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$36.31
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$24.55
Median
$26.30
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$288.40
Typical High
$398.11

Where Connecticut 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.

Connecticut· 30th of 51

$214

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.