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Limited Home Care Plan Oversight, 30 Minutes

Tennessee 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 October 2026.

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

$74.13

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $70.79 to $141.

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 $74 · 10th to 90th $74 to $74Professionalmedian $74 · 10th to 90th $56 to $617
$100$200$500facility $74professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$74.13
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$37.15
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$14.79
Typical High
$16.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.41
Median
$10.96
Typical High
$12.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.01
Median
$7.41
Typical High
$7.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$77.62
Typical High
$131.83

Where Tennessee sits

The same service costs 2.2 times more in Alaska than in Kentucky. 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.

Tennessee· 36th of 51

$74.13

AK $132KY $58.88

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.