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Comprehensive Home Care Plan Oversight, 60 Minutes

Utah 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?

$107

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $102 to $120.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $135 to $135Professionalmedian $107 · 10th to 90th $95 to $135
$100facility $135professional $107

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Molina
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$97.72
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$107.15
Typical High
$120.23
Select Health
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Select Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$109.65
Typical High
$144.54
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$131.83
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$109.65
Typical High
$158.49

Where Utah 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.

Utah· 27th of 51

$107

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.