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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 October 2026.

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

$74.13

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $75.86 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$67.61 to $89.13
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $102

How much rates vary

Facilitymedian $76 · 10th to 90th $74 to $120Professionalmedian $74 · 10th to 90th $68 to $245
$100$200$500$1K$2K$5Kfacility $76professional $74

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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$93.33
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$120.23
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$109.65
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$125.89
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$112.20
Typical High
$245.47
Well Sense
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$81.28
Typical High
$123.03
Well Sense
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$79.43

Where Massachusetts 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.

Massachusetts· 35th of 51

$74.13

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.