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How much does home care cost per hour in each state?

The national median for non-medical in-home care was $35 an hour in 2025. Pick a state to start the calculator from its caregiver wage and median price, or open its page for Medicaid rates and the minimum wage.

Last reviewed October 17, 2026

Starts at the median aide wage in the US (BLS). Use your own.

Payroll taxes, workers' comp and unemployment insurance. Often 18–22%.

Paid hours you can't bill, as a share of paid hours.

Drive time between clients, as a share of paid hours.

Share of paid hours paid at 1.5×.

Profit left after labor and overhead.

Office staff, rent, insurance, software, marketing.

Starts at the median private-pay rate in the US (CareScout). Enter your own or a Medicaid rate.

Bill rate for a 10% margin

$36.19/hr

Break-even rate

$31.36/hr

Covers labor and overhead, with no profit.

Labor cost per billed hour

$23.52/hr

$17.21 pay + $1.91 unbilled time + $0.48 overtime + $3.92 payroll burden

Margin at $35.00/hr

7.8%

$2.73 profit per hour after overhead. Gross margin 32.8% before overhead.

Each extra point of overtime adds $0.11 and each point of unbilled travel $0.26 to labor per billed hour.

Home care rates in every state

Median price of non-medical in-home care (CareScout 2025), median caregiver wage (BLS, May 2025) and the state minimum wage. Each state's page has the calculator set to its numbers.

Median hourly cost of non-medical in-home care, caregiver wage and minimum wage by state, 2025
State Median priceCaregiver wageMinimum wageMedicaid rates
Alabama $27$13.39$7.25—
Alaska $38$19.11$14.00Linked
Arizona $38$17.51$15.15Linked
Arkansas $25$13.30$11.00Linked
California $40$16.50$16.90Linked
Colorado $42$18.53$15.16Linked
Connecticut $36$18.75$16.94Linked
Delaware $35$16.50$15.00—
District of Columbia —$20.53$18.40Linked
Florida $32$16.25$15.00Linked
Georgia $32$14.07$7.25Linked
Hawaii $41$18.32$16.00Linked
Idaho $39$16.72$7.25—
Illinois $36$18.30$15.00Linked
Indiana $35$16.86$7.25Linked
Iowa $41$17.34$7.25Linked
Kansas $34$15.03$7.25Linked
Kentucky $33$17.52$7.25Linked
Louisiana $26$10.83$7.25Linked
Maine $45$18.55$15.10—
Maryland $35$18.29$15.00Linked
Massachusetts $40$19.67$15.00Linked
Michigan $35$16.83$13.73Linked
Minnesota $44$18.45$11.41Linked
Mississippi $24$11.47$7.25—
Missouri $33$15.90$15.00Linked
Montana $38$17.61$10.85Linked
Nebraska $36$17.38$15.00Linked
Nevada $37$16.19$12.00Linked
New Hampshire $40$18.64$7.25—
New Jersey $38$17.83$15.92Linked
New Mexico $30$13.71$12.00Linked
New York $35$19.05$17.00Linked
North Carolina $30$15.02$7.25Linked
North Dakota $34$18.96$7.25—
Ohio $34$16.57$11.00Linked
Oklahoma $33$13.32$7.25Linked
Oregon $40$21.35$15.55Linked
Pennsylvania $34$14.14$7.25Linked
Rhode Island $40$21.00$16.00Linked
South Carolina $31$14.48$7.25Linked
South Dakota $44$18.15$11.85Linked
Tennessee $31$15.45$7.25Linked
Texas $30$11.65$7.25Linked
Utah $39$17.25$7.25Linked
Vermont $45$20.00$14.42Linked
Virginia $35$14.57$12.77Linked
Washington $45$22.95$17.13Linked
West Virginia $30$13.47$8.75Linked
Wisconsin $36$17.47$7.25Linked
Wyoming $46$15.96$7.25—

How does the calculator work?

Labor cost per billed hour is the pay rate, plus half the overtime share for time-and-a-half, plus payroll burden, divided by the share of paid hours you can bill. The bill rate is labor divided by one minus overhead and margin when overhead is a share of revenue, or labor plus overhead divided by one minus margin when it is dollars per hour. Break-even is the same with no margin.

The pay rate starts at the median aide wage and the bill rate to test at the median price, for the US or the state you pick. Payroll burden starts at 20%: Social Security, Medicare and unemployment taxes plus workers' comp usually add 18–22% to wages, but yours depends on your state, your workers' comp class and your claims. The other defaults are examples, not benchmarks.

If you budget overhead as an annual figure, the bill rate calculator spreads it over your billable hours instead.

How Caregiver Scheduling handles this

Private-pay invoicing from verified visit data is coming soon, at the rates in each service agreement, so a rate change will show up correctly on the next invoice. See what’s coming for invoicing.

Sources

Frequently asked questions

The CareScout 2025 Cost of Care Survey puts the national median for non-medical in-home care at $35 an hour. Wyoming has the highest state median ($46) and Mississippi the lowest ($24).

Related guides

These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.

Simple pricing

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Up to 10 caregivers on Starter, 50 on Growth.

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