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Extensive Care Management Home Visit, 75 Minutes

New York 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?

$209

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $182 to $240.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $209 · 10th to 90th $141 to $275
$5.0$20.0$100.0$500.0professional $209

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
$131.83
Median
$194.98
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$371.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$239.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$457.09
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$363.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$512.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$363.08

Where New York 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 York $209 · 32nd 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.