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Comprehensive Home Care Plan Oversight, 60 Minutes

Washington 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?

$110

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $123 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$107$93.33 to $145
FacilityA hospital or hospital-owned outpatient department$123$97.72 to $155

How much rates vary

Facilitymedian $123 · 10th to 90th $91 to $214Professionalmedian $107 · 10th to 90th $85 to $214
$50.0$100.0$200.0$500.0facility $123professional $107

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
$87.10
Median
$87.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$138.04
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$218.78

Where Washington 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.

Washington $110 · 7th 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.