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Extensive Care Management Home Visit, 75 Minutes

Kansas 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 physician fee. In Kansas, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $195 to $229.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $178 to $1,047Professionalmedian $229 · 10th to 90th $178 to $324
$200$500$1Kfacility $214professional $229

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$87.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$35.48
Typical High
$42.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$26.30
Median
$26.30
Typical High
$31.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$17.78
Median
$17.78
Typical High
$20.89
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$213.80
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$239.88
Typical High
$338.84

Where Kansas 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.

Kansas· 18th 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.