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Extensive Care Management Home Visit, 75 Minutes

Oklahoma 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?

$245

Typical physician fee. In Oklahoma, October 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $200 to $251.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251 · 10th to 90th $245 to $1,047Professionalmedian $245 · 10th to 90th $182 to $1,349
$200$500$1Kfacility $251professional $245

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$251.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$48.98
Median
$48.98
Typical High
$50.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$37.15
Median
$37.15
Typical High
$38.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$24.55
Median
$24.55
Typical High
$25.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medica
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$263.03
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$234.42
Typical High
$309.03

Where Oklahoma 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.

Oklahoma· 14th of 51

$245

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.