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Limited Home Care Plan Oversight, 30 Minutes

Arizona 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.

How much does Limited Home Care Plan Oversight, 30 Minutes cost?

$74.13

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $110 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$61.66 to $83.18
FacilityA hospital or hospital-owned outpatient department$110$75.86 to $309

How much rates vary

Facilitymedian $110 · 10th to 90th $65 to $447Professionalmedian $72 · 10th to 90th $49 to $95
$50.0$100.0$200.0$500.0facility $110professional $72

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$138.04

Where Arizona sits

The same service costs 1.9 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $74.13 · 19th of 51
ND $123LA $64.57

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.