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Extensive Care Management Home Visit, 75 Minutes

Texas 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?

$200

Typical physician fee. In Texas, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $174 to $219.

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 $200 · 10th to 90th $138 to $257
$50.0$100.0$200.0$500.0$1.0Kprofessional $200

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
$138.04
Median
$194.98
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$295.12

Where Texas 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.

Texas $200 · 46th 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.