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Comprehensive Home Care Plan Oversight, 60 Minutes

Texas 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?

$97.72

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $102 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$97.72$87.10 to $107
FacilityA hospital or hospital-owned outpatient department$102$87.10 to $117

How much rates vary

Facilitymedian $102 · 10th to 90th $71 to $148Professionalmedian $98 · 10th to 90th $69 to $126
$100$200$500facility $102professional $98

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
$60.26
Median
$87.10
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$120.23
Christus
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$138.04

Where Texas sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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.

Texas· 46th of 51

$97.72

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.