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Limited Home Care Plan Oversight, 30 Minutes

Colorado 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 Colorado, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $83.18 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 7 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$74.13$63.10 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$72.44 to $87.10

How much rates vary

Facilitymedian $83 · 10th to 90th $62 to $117Professionalmedian $74 · 10th to 90th $50 to $93
$50.0$100.0$200.0facility $83professional $74

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
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$95.50
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$158.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$177.83

Where Colorado 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.

Colorado $74.13 · 20th 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.