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Limited Home Care Plan Oversight, 30 Minutes

Missouri 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?

$69.18

Typical physician fee. In Missouri, October 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $69.18 to $83.18.

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.

How much rates vary

Facilitymedian $200 · 10th to 90th $76 to $380Professionalmedian $69 · 10th to 90th $66 to $115
$100$200$500facility $200professional $69

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
$69.18
Median
$69.18
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$34.67
Typical High
$42.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.80
Median
$13.80
Typical High
$16.98
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$10.47
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$6.92
Typical High
$8.51
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$69.18
Typical High
$87.10
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$79.43
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$269.15
Typical High
$380.19
Medica
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$91.20
Typical High
$128.82

Where Missouri 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.

Missouri· 43rd of 51

$69.18

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.