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Extensive Care Management Home Visit, 75 Minutes

Mississippi 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 Mississippi, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $174 to $245.

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 $269 · 10th to 90th $257 to $269Professionalmedian $209 · 10th to 90th $158 to $257
$200facility $269professional $209

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
$173.78
Median
$173.78
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$173.78
Typical High
$245.47
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$87.10
Typical High
$123.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$34.67
Typical High
$48.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$25.70
Typical High
$37.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$17.38
Typical High
$24.55
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$218.78
Typical High
$316.23

Where Mississippi 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.

Mississippi· 33rd 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.