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Limited Home Care Plan Oversight, 30 Minutes

Massachusetts 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 Massachusetts, 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 $75.86 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$69.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$75.86$74.13 to $110

How much rates vary

Facilitymedian $76 · 10th to 90th $74 to $468Professionalmedian $76 · 10th to 90th $59 to $151
$100.0$1.0K$10.0Kfacility $76professional $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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$93.33
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$239.88
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$181.97
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$208.93

Where Massachusetts sits

The same service costs 1.9 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $75.86 · 10th of 51
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.