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Extensive Care Management Home Visit, 75 Minutes

Rhode Island 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?

$182

Typical physician fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $162 to $275.

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 $468 · 10th to 90th $427 to $603Professionalmedian $178 · 10th to 90th $162 to $275
$200$500facility $468professional $178

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
$208.93
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$42.66
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$31.62
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$27.54
Typical High
$27.54
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$467.74
Typical High
$602.56
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$281.84
Typical High
$389.05

Where Rhode Island 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.

Rhode Island· 48th of 51

$182

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.