go back

Extensive Care Management Home Visit, 75 Minutes

New Mexico 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?

$186

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $162 to $234.

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 $186 · 10th to 90th $148 to $282
$50.0$100.0$200.0$500.0$1.0Kprofessional $186

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
$186.21
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$446.68

Where New Mexico 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.

New Mexico $186 · 51st 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.