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Limited Home Care Plan Oversight, 30 Minutes

Michigan 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 Michigan, 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 $74.13 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 6 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 $83.18
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $115

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $191Professionalmedian $76 · 10th to 90th $60 to $102
$50.0$100.0$200.0facility $74professional $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
$60.26
Median
$74.13
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$123.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$190.55
Typical High
$223.87
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$100.00
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$109.65

Where Michigan 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.

Michigan $75.86 · 12th 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.