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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.
Home care rates in Kentucky: private pay and Medicaid
Last verified October 17, 2026 · All Kentucky resources
Non-medical in-home care in Kentucky cost a median of $33 an hour in 2025, according to the CareScout Cost of Care Survey, against $35 nationally.
What do families pay for home care in Kentucky?
| Measure | Kentucky | United States |
|---|---|---|
| Median hourly cost, non-medical in-home care | $33 | $35 |
| Caregiver wage, mean hourly (BLS) | $18.53 | — |
CareScout's 2025 survey reports homemaker and home health aide services together as non-medical in-home care. In Kentucky the median price is 1.8 times the average caregiver wage.
What does Kentucky Medicaid pay for personal care?
Home and Community Based (HCB) waiver Attendant Care, traditional and participant-directed, base rate $7.26 per 15-minute unit effective 2025-01-01 (907 KAR 7:015). Procedure code not listed in the regulation. Open the official rate source . Managed care plans may pay different rates.
What do caregivers earn in Kentucky?
Home health and personal care aides in Kentucky earned a median of $17.52 an hour in May 2025, according to the Bureau of Labor Statistics. The lowest-paid tenth earned under $13.52 and the highest-paid tenth over $23.60. See pay in Kentucky's largest metro areas.
What is the minimum wage for caregivers in Kentucky?
Kentucky's minimum wage is $7.25 an hour.
Overtime rules are on the Kentucky overtime and minimum wage page.
How much should a home care agency charge per hour in Kentucky?
Enough to cover fully loaded caregiver labor, overhead and a margin. Starting from the Kentucky median aide wage of $17.52, with a 20% payroll burden, 5% paid time off and training, 5% unbilled travel, 5% overtime, 25% overhead and a 10% margin, the calculator below gives about $36.84 an hour. Change any number to match your agency.
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. The bill rate to test starts at the Kentucky median price, so you can see the margin a typical rate leaves.
If you budget overhead as an annual figure, the bill rate calculator spreads it over your billable hours instead. Both are estimates for planning, not pricing or wage-and-hour advice.
Sources
More for Kentucky
Home care rates by state: other states
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