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Limited Home Care Plan Oversight, 30 Minutes

Ohio 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?

$70.79

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $70.79 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 7 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$70.79$67.61 to $77.62
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $102Professionalmedian $71 · 10th to 90th $59 to $98
$1.0$5.0$20.0$100.0facility $71professional $71

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$141.25
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
$67.61
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$131.83

Where Ohio 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.

Ohio $70.79 · 44th 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.