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Limited Home Care Plan Oversight, 30 Minutes

New York 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.

Facilitymedian $74 · 10th–90th $47$1070%20%10th90th$74Professionalmedian $74 · 10th–90th $50$950%20%40%10th90th$74$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$131.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$87.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$69.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$128.82
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$190.55
Univera
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$79.43
Univera
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$128.82