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Limited Home Care Plan Oversight, 30 Minutes

Nationwide rates for HCPCS G0086

Limited (30 minutes) care management home care plan oversight. 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.

Facilitymedian $100 · 10th–90th $68$2240%20%40%10th90th$100Professionalmedian $74 · 10th–90th $54$1070%50%10th90th$74$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$229.09
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$158.49