Maryland rates for HCPCS G2064

Comprehensive care management services for a single high risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities

Rates data updated July 2026.

How much does HCPCS G2064 cost?

$102

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $81.28 to $155.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $76Professionalmedian $102 · 10th to 90th $81 to $195

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier Global Typical Low $81.28 Median $95.50 Typical High $120.23	Professional	Global	$81.28	$95.50	$120.23
Kaiser Permanente Setting Professional Modifier Global Typical Low $154.88 Median $154.88 Typical High $194.98	Professional	Global	$154.88	$154.88	$194.98
United Setting Facility Modifier Global Typical Low $75.86 Median $75.86 Typical High $75.86	Facility	Global	$75.86	$75.86	$75.86

Where Maryland sits

The same service costs 4.5 times more in Wisconsin than in Idaho. 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.

Maryland· 13th of 39

$102

WI $135ID $30.20

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.