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Limited Home Care Plan Oversight, 30 Minutes

Texas 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?

$64.57

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $61.66 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$52.48 to $74.13
FacilityA hospital or hospital-owned outpatient department$61.66$48.98 to $77.62

How much rates vary

Facilitymedian $62 · 10th to 90th $44 to $89Professionalmedian $65 · 10th to 90th $12 to $468
$10$20$50$100$200$500facility $62professional $65

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
$43.65
Median
$43.65
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$70.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$26.92
Typical High
$35.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$10.72
Typical High
$14.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$8.13
Typical High
$10.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$5.37
Typical High
$7.08
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
$616.60
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$66.07
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$26.92
Typical High
$35.48
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$10.72
Typical High
$14.13
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$8.13
Typical High
$10.72
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$5.37
Typical High
$7.08
Molina
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$63.10
Typical High
$72.44
Providence
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$72.44
Typical High
$100.00
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$79.43
Typical High
$117.49
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Texas 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.

Texas· 48th of 51

$64.57

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.