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Extensive Care Management Home Visit, 75 Minutes

Oregon 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?

$309

Typical physician fee. In Oregon, October 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $282 to $355.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $407 · 10th to 90th $209 to $525Professionalmedian $309 · 10th to 90th $229 to $355
$100$200$500facility $407professional $309

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
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$416.87
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$407.38
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Providence
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$302.00
Typical High
$524.81
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$199.53
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$446.68
Typical High
$707.95

Where Oregon 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.

Oregon· 5th of 51

$309

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.