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Limited Home Care Plan Oversight, 30 Minutes

Florida 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 October 2026.

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

$74.13

Typical negotiated rate. In Florida, October 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 $64.57 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$61.66 to $75.86
FacilityA hospital or hospital-owned outpatient department$64.57$61.66 to $75.86

How much rates vary

Facilitymedian $65 · 10th to 90th $59 to $79Professionalmedian $74 · 10th to 90th $52 to $135
$50$100facility $65professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$66.07
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$70.79
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$35.48
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$14.13
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$10.72
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$7.08
Typical High
$7.76
AvMed
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$64.57
Typical High
$79.43
AvMed
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$74.13
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$56.23
Molina
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$138.04
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$74.13
Typical High
$128.82
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Florida sits

The same service costs 2.2 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 37th of 51

$74.13

AK $132KY $58.88

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.