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Limited Home Care Plan Oversight, 30 Minutes

Utah 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?

$75.86

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $63.10 to $93.33.

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 $95 · 10th to 90th $95 to $98Professionalmedian $74 · 10th to 90th $55 to $100
$50.0$100.0$200.0facility $95professional $74

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$114.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$107.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$125.89

Where Utah 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.

Utah $75.86 · 15th 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.