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Limited Home Care Plan Oversight, 30 Minutes

Rhode Island 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?

$77.62

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $74.13 to $97.72.

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.

How much rates vary

Facilitymedian $170 · 10th to 90th $148 to $209Professionalmedian $78 · 10th to 90th $58 to $98
$50.0$100.0$200.0facility $170professional $78

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$128.82

Where Rhode Island 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.

Rhode Island $77.62 · 8th 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.