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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 October 2026.

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

$89.13

Typical physician fee. In New Mexico, October 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $85.11 to $89.13.

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 $58 · 10th to 90th $58 to $58Professionalmedian $89 · 10th to 90th $58 to $100
$50$100facility $58professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$107.15
Typical High
$151.36

Where New Mexico 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.

New Mexico· 12th of 51

$89.13

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.