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Comprehensive Home Care Plan Oversight, 60 Minutes

Indiana 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?

$100

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $200 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$83.18 to $105
FacilityA hospital or hospital-owned outpatient department$200$105 to $912

How much rates vary

Facilitymedian $200 · 10th to 90th $100 to $955Professionalmedian $100 · 10th to 90th $83 to $105
$100$200$500$1K$2Kfacility $200professional $100

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$48.98
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$19.95
Typical High
$21.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.79
Median
$14.79
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$10.00
Typical High
$10.47
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$104.71
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$138.04
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$912.01
Typical High
$2,137.96
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$102.33
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$112.20
Typical High
$158.49

Where Indiana 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.

Indiana· 40th of 51

$100

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.