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Extensive Care Management Home Visit, 75 Minutes

Nevada 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?

$219

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $200 to $224.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $219 · 10th to 90th $214 to $4,266Professionalmedian $219 · 10th to 90th $178 to $257
$200$500$1K$2Kfacility $219professional $219

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
$218.78
Median
$218.78
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.90
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.42
Median
$22.39
Typical High
$22.39
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$204.17
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$199.53
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$223.87
Typical High
$354.81
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Select Health
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$208.93
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$371.54

Where Nevada 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.

Nevada· 20th of 51

$219

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.