Ohio 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 rates vary

Facilitymedian $91 · 10th to 90th $91 to $91Professionalmedian $87 · 10th to 90th $87 to $87

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
Anthem BCBS Setting Professional Modifier Global Typical Low $87.10 Median $87.10 Typical High $87.10	Professional	Global	$87.10	$87.10	$87.10
United Setting Facility Modifier Global Typical Low $91.20 Median $91.20 Typical High $91.20	Facility	Global	$91.20	$91.20	$91.20