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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 October 2026.

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

$87.10

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $81.28 to $110.

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.

How much rates vary

Facilitymedian $138 · 10th to 90th $78 to $380Professionalmedian $87 · 10th to 90th $78 to $112
$100$200$500facility $138professional $87

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.22
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$64.57
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$138.04
Typical High
$380.19
Medica
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$165.96
Typical High
$467.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$102.33
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where Iowa 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.

Iowa· 14th of 51

$87.10

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.