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Limited Home Care Plan Oversight, 30 Minutes

Wisconsin 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 $76 · 10th–90th $68$2240%20%10th90th$76Professionalmedian $83 · 10th–90th $62$1950%10%10th90th$83$50.0$100.0$200.0$500.0

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
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$218.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$102.33
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$199.53
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$102.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$234.42
Quartz
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$467.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$380.19
Typical High
$467.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$204.17