go back

Comprehensive Home Care Plan Oversight, 60 Minutes

New York 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 New York, 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 9 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$91.20 to $117
FacilityA hospital or hospital-owned outpatient department$105$85.11 to $112

How much rates vary

Facilitymedian $105 · 10th to 90th $65 to $151Professionalmedian $105 · 10th to 90th $69 to $135
$10.0$100.0$1.0K$10.0Kfacility $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
$64.57
Median
$95.50
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$186.21
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$120.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$229.09
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$97.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$181.97
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$263.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$112.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$177.83

Where New York 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.

New York $105 · 27th 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.