Principal Care Management, Clinical Staff, 30 Minutes

Tennessee 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 $100 · 10th to 90th $100 to $100Professionalmedian $174 · 10th to 90th $55 to $174

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 $47.86 Median $47.86 Typical High $54.95	Professional	Global	$47.86	$47.86	$54.95
Lucent Health Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	Global	$100.00	$100.00	$100.00
Lucent Health Setting Professional Modifier Global Typical Low $173.78 Median $173.78 Typical High $173.78	Professional	Global	$173.78	$173.78	$173.78