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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 October 2026.

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

$95.50

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $87.10 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$75.86 to $105
FacilityA hospital or hospital-owned outpatient department$87.10$69.18 to $107

How much rates vary

Facilitymedian $87 · 10th to 90th $60 to $123Professionalmedian $95 · 10th to 90th $18 to $661
$20$50$100$200$500facility $87professional $95

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
$60.26
Median
$60.26
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$100.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$38.02
Typical High
$50.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$15.14
Typical High
$19.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.12
Median
$11.48
Typical High
$14.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.03
Median
$7.59
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$870.96
Typical High
$870.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$75.86
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$38.02
Typical High
$48.98
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$15.14
Typical High
$19.95
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.12
Median
$11.48
Typical High
$14.79
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.03
Median
$7.59
Typical High
$10.00
Molina
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$97.72
Typical High
$109.65
Providence
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$100.00
Typical High
$141.25
Providence
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$109.65
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

Where Texas 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.

Texas· 46th of 51

$95.50

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.