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Limited Home Care Plan Oversight, 30 Minutes

Washington 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?

$77.62

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $87.10 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 9 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$66.07 to $105
FacilityA hospital or hospital-owned outpatient department$87.10$69.18 to $110

How much rates vary

Facilitymedian $87 · 10th to 90th $65 to $151Professionalmedian $76 · 10th to 90th $60 to $162
$50.0$100.0$200.0$500.0facility $87professional $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
$61.66
Median
$61.66
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$100.00
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$102.33
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$208.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$154.88

Where Washington 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.

Washington $77.62 · 7th 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.