Principal Care Management, Clinical Staff, 30 Minutes

Missouri rates for HCPCS G2065

Comprehensive care management for a single high risk disease services, e.g., principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, 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 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 $89 · 10th to 90th $39 to $100Professionalmedian $41 · 10th to 90th $37 to $50

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
Medica Setting Facility Modifier Global Typical Low $89.13 Median $89.13 Typical High $100.00	Facility	Global	$89.13	$89.13	$100.00
United Setting Facility Modifier Global Typical Low $38.90 Median $38.90 Typical High $38.90	Facility	Global	$38.90	$38.90	$38.90
United Setting Professional Modifier Global Typical Low $37.15 Median $40.74 Typical High $50.12	Professional	Global	$37.15	$40.74	$50.12