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Limited Home Care Plan Oversight, 30 Minutes

South Dakota 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?

$79.43

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $70.79 to $89.13.

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.

How much rates vary

Facilitymedian $78 · 10th to 90th $60 to $135Professionalmedian $79 · 10th to 90th $62 to $117
$50.0$100.0$200.0$500.0facility $78professional $79

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
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$123.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$112.20

Where South Dakota 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.

South Dakota $79.43 · 6th 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.