| Option | Typical Cost |
|---|---|
| Companion care (non-medical) | $560–$1,120 |
| Personal care aide | $840–$1,680 |
| Certified nursing assistant | $1,260–$2,520 |
| Licensed practical nurse | $1,750–$3,500 |
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| Service Level | Hourly Rate | Monthly (40 hrs/week) |
|---|---|---|
| Companion care (non-medical) | $15–$22/hour | $2,600–$3,800 |
| Home health aide (bathing, dressing) | $18–$28/hour | $3,100–$4,850 |
| Certified nursing assistant (CNA) | $20–$30/hour | $3,500–$5,200 |
| Licensed practical nurse (LPN) | $28–$45/hour | $4,850–$7,800 |
| Registered nurse (RN, skilled care) | $40–$80/hour | $6,900–$13,800 |
| Live-in aide | $200–$350/day | $6,000–$10,500 |
Medicare covers skilled home health services (nursing, physical therapy) if ordered by a doctor and provided by a Medicare-certified agency — at no cost to the patient. Medicare does NOT cover custodial care (bathing, dressing, meal prep). Medicaid Home and Community-Based Services (HCBS) waivers cover home aides in most states for eligible low-income seniors, but waitlists can be 6 months to 3+ years.
| Service Level | Hourly Rate | Monthly (40 hrs/week) |
|---|---|---|
| Companion care (non-medical) | $15–$22/hour | $2,600–$3,800 |
| Home health aide (bathing, dressing) | $18–$28/hour | $3,100–$4,850 |
| Certified nursing assistant (CNA) | $20–$30/hour | $3,500–$5,200 |
| Licensed practical nurse (LPN) | $28–$45/hour | $4,850–$7,800 |
| Registered nurse (RN, skilled care) | $40–$80/hour | $6,900–$13,800 |
| Live-in aide | $200–$350/day | $6,000–$10,500 |
Medicare covers skilled home health services (nursing, physical therapy) if ordered by a doctor and provided by a Medicare-certified agency — at no cost to the patient. Medicare does NOT cover custodial care (bathing, dressing, meal prep). Medicaid Home and Community-Based Services (HCBS) waivers cover home aides in most states for eligible low-income seniors, but waitlists can be 6 months to 3+ years.
Home Health Aide costs are shaped by quality level, provider choice, and your location. Premium options command higher prices but do not always deliver proportionally better outcomes. Identifying where quality matters most for your situation helps you allocate your budget effectively.
The biggest pricing variable is often one that people overlook: timing. Seasonal demand, provider availability, and market conditions all influence what you will pay. When possible, flexibility on timing gives you leverage to negotiate or simply take advantage of lower-demand pricing.