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Home Care Rates by State: Private Pay and Medicaid
Non-medical home care cost a median $35 an hour in 2025. What drives state differences, what Medicaid pays for personal care in four states, and how to price your agency.
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Call-out coverage finder New Who can cover without overtime Overtime calculator Weekly and daily OT EVV visit checker New Will this visit get paid? 15-minute unit converter Minutes, units and hoursPick a state and the hours of care needed. The calculator starts from the 2025 median hourly rate for non-medical home care in that state (national median: $35 an hour).
Last reviewed October 17, 2026
Free to use. Paste this code into any page. The calculator stays up to date when the survey data changes.
Median hourly rates for non-medical home care, from the CareScout Cost of Care Survey 2025 (fielded July through November 2025).
| State | Median hourly rate | 20 hours a week, per month |
|---|---|---|
| Wyoming | $46 | $3,987 |
| Maine | $45 | $3,900 |
| Vermont | $45 | $3,900 |
| Washington | $45 | $3,900 |
| Minnesota | $44 | $3,813 |
| South Dakota | $44 | $3,813 |
| Colorado | $42 | $3,640 |
| Hawaii | $41 | $3,553 |
| Iowa | $41 | $3,553 |
| California | $40 | $3,467 |
| Massachusetts | $40 | $3,467 |
| New Hampshire | $40 | $3,467 |
| Oregon | $40 | $3,467 |
| Rhode Island | $40 | $3,467 |
| Idaho | $39 | $3,380 |
| Utah | $39 | $3,380 |
| Alaska | $38 | $3,293 |
| Arizona | $38 | $3,293 |
| Montana | $38 | $3,293 |
| New Jersey | $38 | $3,293 |
| Nevada | $37 | $3,207 |
| Connecticut | $36 | $3,120 |
| Illinois | $36 | $3,120 |
| Nebraska | $36 | $3,120 |
| Wisconsin | $36 | $3,120 |
| Delaware | $35 | $3,033 |
| Indiana | $35 | $3,033 |
| Maryland | $35 | $3,033 |
| Michigan | $35 | $3,033 |
| New York | $35 | $3,033 |
| Virginia | $35 | $3,033 |
| Kansas | $34 | $2,947 |
| North Dakota | $34 | $2,947 |
| Ohio | $34 | $2,947 |
| Pennsylvania | $34 | $2,947 |
| Kentucky | $33 | $2,860 |
| Missouri | $33 | $2,860 |
| Oklahoma | $33 | $2,860 |
| Florida | $32 | $2,773 |
| Georgia | $32 | $2,773 |
| South Carolina | $31 | $2,687 |
| Tennessee | $31 | $2,687 |
| New Mexico | $30 | $2,600 |
| North Carolina | $30 | $2,600 |
| Texas | $30 | $2,600 |
| West Virginia | $30 | $2,600 |
| Alabama | $27 | $2,340 |
| Louisiana | $26 | $2,253 |
| Arkansas | $25 | $2,167 |
| Mississippi | $24 | $2,080 |
Agencies that embed this calculator send families to their own inquiry form. Inside Caregiver Scheduling, private-pay invoices built from verified visits are coming soon, so families will be billed for the hours actually delivered. See what’s coming for invoicing.
At the 2025 national median of $35 an hour, 4 hours a day, 5 days a week comes to about $3,033 a month. Costs scale with hours, so full-time care costs several times more.
Not for ongoing non-medical care such as help with bathing, dressing or meals when that is the only care needed. Medicaid, long-term care insurance and VA benefits may help, depending on eligibility.
The median is the middle of surveyed rates across a state. City rates, nights and weekends, two-person care and specialized dementia care often cost more; minimum visit lengths also change the total.
Operations
Non-medical home care cost a median $35 an hour in 2025. What drives state differences, what Medicaid pays for personal care in four states, and how to price your agency.
Operations
Build your private-pay hourly rate from caregiver wage, payroll burden, unpaid-but-paid time, overhead and margin. Worked example and national benchmarks.
Operations
Build a live-in daily rate from the hours you actually pay: a 24-hour shift minus excludable sleep and meals, plus burden, overtime risk, overhead and margin.
Operations
Most long-term care policies reimburse the client, not the agency. How benefit triggers, elimination periods and assignment of benefits work, and what to send the insurer.
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