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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 Nevada: private pay and Medicaid
Last verified October 17, 2026 · All Nevada resources
Non-medical in-home care in Nevada cost a median of $37 an hour in 2025, according to the CareScout Cost of Care Survey, against $35 nationally.
What do families pay for home care in Nevada?
| Measure | Nevada | United States |
|---|---|---|
| Median hourly cost, non-medical in-home care | $37 | $35 |
| Caregiver wage, mean hourly (BLS) | $15.62 | — |
CareScout's 2025 survey reports homemaker and home health aide services together as non-medical in-home care. In Nevada the median price is 2.4 times the average caregiver wage.
What does Nevada Medicaid pay for personal care?
Personal care services (T1019, per 15 min) for provider types 30 and 83 were raised to $25 per hour effective 2024-01-01 under SB 511; providers must pay direct care workers at least $16 per hour to receive this rate (Nevada Medicaid Web Announcement 3270). Open the official rate source . Managed care plans may pay different rates.
What do caregivers earn in Nevada?
Home health and personal care aides in Nevada earned a median of $16.19 an hour in May 2025, according to the Bureau of Labor Statistics. The lowest-paid tenth earned under $12.69 and the highest-paid tenth over $17.59. See pay in Nevada's largest metro areas.
What is the minimum wage for caregivers in Nevada?
Nevada's minimum wage is $12.00 an hour.
Nevada also sets a higher wage floor for some home care workers:
- $16.00 an hour since January 1, 2024: Direct care workers of Nevada Medicaid personal care services providers (provider types 30, 83, and PCS under 48 and 58; SB 511 of 2023); condition of Medicaid payment (required to receive the $25.00/hr PCS rate, with signed attestation). Source
Overtime rules are on the Nevada overtime and minimum wage page.
How much should a home care agency charge per hour in Nevada?
Enough to cover fully loaded caregiver labor, overhead and a margin. Starting from the Nevada median aide wage of $16.19, 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 $34.04 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 Nevada 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 Nevada
Home care rates by state: other states
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