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Extensive Care Management Home Visit, 75 Minutes

Maryland 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?

$200

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $123 to $219.

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

Professionalmedian $200 · 10th to 90th $123 to $234
$200$500professional $200

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
$123.03
Median
$123.03
Typical High
$218.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$61.66
Typical High
$109.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$24.55
Typical High
$44.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$18.62
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.30
Typical High
$21.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$177.83
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$229.09
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$331.13
Typical High
$346.74

Where Maryland 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.

Maryland· 43rd of 51

$200

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.