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Comprehensive Home Care Plan Oversight, 60 Minutes

Illinois 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?

$105

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $102 to $105.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $102 · 10th to 90th $100 to $105Professionalmedian $105 · 10th to 90th $93 to $117
$100$200facility $102professional $105

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
$102.33
Median
$102.33
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.45
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.55
Median
$10.47
Typical High
$10.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$107.15
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$128.82
Typical High
$138.04
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$125.89
Typical High
$194.98

Where Illinois 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.

Illinois· 33rd of 51

$105

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.