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Limited Home Care Plan Oversight, 30 Minutes

Indiana 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?

$70.79

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $145 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$58.88 to $74.13
FacilityA hospital or hospital-owned outpatient department$145$74.13 to $912

How much rates vary

Facilitymedian $145 · 10th to 90th $71 to $955Professionalmedian $71 · 10th to 90th $59 to $76
$50$100$200$500$1K$2Kfacility $145professional $71

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$14.13
Typical High
$15.14
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$97.72
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$74.13
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$79.43
Typical High
$112.20

Where Indiana 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.

Indiana· 41st of 51

$70.79

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.