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.

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

$75.86

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $85.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$67.61 to $85.11
FacilityA hospital or hospital-owned outpatient department$85.11$75.86 to $97.72

How much rates vary

Facilitymedian $85 · 10th to 90th $65 to $120Professionalmedian $76 · 10th to 90th $59 to $95
$50.0$100.0$200.0facility $85professional $76

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
$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

Where Virginia 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.

Virginia $75.86 · 11th 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.