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Comprehensive Home Care Plan Oversight, 60 Minutes

North Carolina 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 July 2026.

How much does Comprehensive Home Care Plan Oversight, 60 Minutes cost?

$105

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $105 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 6 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$105$100 to $120
FacilityA hospital or hospital-owned outpatient department$105$100 to $123

How much rates vary

Facilitymedian $105 · 10th to 90th $85 to $145Professionalmedian $105 · 10th to 90th $89 to $178
$100.0$200.0$500.0facility $105professional $105

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$194.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$851.14

Where North Carolina 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.

North Carolina $105 · 29th of 51
ND $178LA $91.20

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.