go back

Limited Home Care Plan Oversight, 30 Minutes

Virginia 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.

Facilitymedian $85 · 10th–90th $65$1200%20%10th90th$85Professionalmedian $76 · 10th–90th $59$950%20%10th90th$76$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$97.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$162.18
Sentara
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$162.18