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Comprehensive Home Care Plan Oversight, 60 Minutes

Washington, DC rates for HCPCS G0087

Comprehensive (60 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 Comprehensive Home Care Plan Oversight, 60 Minutes cost?

$112

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $105 to $112.

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

Facilitymedian $112 · 10th to 90th $112 to $112Professionalmedian $112 · 10th to 90th $78 to $112
$100$200facility $112professional $112

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.80
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$11.22
Typical High
$11.22
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$85.11
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$128.82
Typical High
$257.04

Where Washington, DC 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.

Washington, DC· 20th of 51

$112

AK $186KY $83.18

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.