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Limited Home Care Plan Oversight, 30 Minutes

Georgia 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?

$69.18

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $67.61 to $75.86.

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.

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $69Professionalmedian $69 · 10th to 90th $66 to $89
$100facility $68professional $69

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$33.88
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$14.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.23
Typical High
$11.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.76
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$69.18
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$100.00
Typical High
$154.88

Where Georgia 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.

Georgia· 44th of 51

$69.18

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.