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Limited Home Care Plan Oversight, 30 Minutes

Iowa 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?

$75.86

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $87.10 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$75.86$70.79 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$77.62 to $135

How much rates vary

Facilitymedian $87 · 10th to 90th $62 to $380Professionalmedian $76 · 10th to 90th $62 to $295
$50$100$200$500facility $87professional $76

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$104.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$102.33

Where Iowa sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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.

Iowa· 9th of 51

$75.86

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.