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Limited Home Care Plan Oversight, 30 Minutes

Vermont 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?

$91.20

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $74.13 to $91.20.

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

Professionalmedian $91 · 10th to 90th $68 to $115
$50$100$200professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$18.20
Typical High
$18.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.24
Median
$9.12
Typical High
$9.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$169.82
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$114.82
Typical High
$218.78

Where Vermont 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.

Vermont· 11th of 51

$91.20

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.