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Limited Home Care Plan Oversight, 30 Minutes

Oklahoma 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 Oklahoma, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $87.10 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 4 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$61.66 to $79.43
FacilityA hospital or hospital-owned outpatient department$87.10$85.11 to $87.10

How much rates vary

Facilitymedian $87 · 10th to 90th $68 to $117Professionalmedian $71 · 10th to 90th $49 to $87
$100.0$1.0K$10.0K$100.0Kfacility $87professional $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
$85.11
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$107.15

Where Oklahoma 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.

Oklahoma $74.13 · 32nd 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.