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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.

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

$74.13

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 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 9 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$74.13$64.57 to $85.11
FacilityA hospital or hospital-owned outpatient department$74.13$60.26 to $79.43

How much rates vary

Facilitymedian $74 · 10th to 90th $47 to $107Professionalmedian $74 · 10th to 90th $50 to $95
$100$1K$10Kfacility $74professional $74

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
$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

Where New York sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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 York· 38th of 51

$74.13

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.