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Limited Home Care Plan Oversight, 30 Minutes

New Mexico 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?

$67.61

Typical physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $57.54 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72 · 10th to 90th $56 to $91Professionalmedian $66 · 10th to 90th $51 to $98
$50.0$100.0$200.0facility $72professional $66

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$154.88

Where New Mexico 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.

New Mexico $67.61 · 47th 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.