Cost Guide

Home care cost in 2026: national + state averages

The complete 2026 home care cost guide. National average $33/hour. Use the live calculator and 50-state cost grid to estimate your home care cost.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026·9 min read
Quick answer
  • National average: $33/hour for non-medical home care in 2026.
  • Lowest cost states: MS, AR, KY, LA, AL ($25-$26/hour).
  • Highest cost states: MA, CA, NY, WA, AK, NH, MN ($38-$41/hour).
  • 20 hours per week at $33/hour = ~$2,860 / month, ~$34,320 / year.
  • Long-term care insurance, Medicaid HCBS, VA aid-and-attendance can reduce out-of-pocket significantly.

Live home care cost calculator

Adjust the sliders to see weekly, monthly, and yearly cost estimates.

Live cost calculator
Hours per week20 hrs
Hourly rate$33/hr
Weekly
$660
Monthly
$2,858
Yearly
$34,320

50-state home care cost grid (2026)

Sorted low-to-high. Estimates based on Genworth Cost of Care 2024 + BLS wage data, adjusted for 2026 inflation.

MS
Mississippi
$25/hr
AL
Alabama
$26/hr
AR
Arkansas
$26/hr
KY
Kentucky
$26/hr
LA
Louisiana
$26/hr
OK
Oklahoma
$26/hr
WV
West Virginia
$26/hr
SC
South Carolina
$27/hr
TN
Tennessee
$27/hr
GA
Georgia
$28/hr
MO
Missouri
$28/hr
NM
New Mexico
$28/hr
NC
North Carolina
$28/hr
TX
Texas
$28/hr
FL
Florida
$30/hr
IN
Indiana
$30/hr
KS
Kansas
$30/hr
OH
Ohio
$30/hr
PA
Pennsylvania
$30/hr
VA
Virginia
$30/hr
UT
Utah
$31/hr
ID
Idaho
$32/hr
IL
Illinois
$32/hr
IA
Iowa
$32/hr
MI
Michigan
$32/hr
NE
Nebraska
$32/hr
WI
Wisconsin
$32/hr
AZ
Arizona
$33/hr
MT
Montana
$33/hr
NV
Nevada
$33/hr
SD
South Dakota
$33/hr
WY
Wyoming
$33/hr
DE
Delaware
$35/hr
ME
Maine
$35/hr
MD
Maryland
$35/hr
CO
Colorado
$36/hr
HI
Hawaii
$36/hr
MN
Minnesota
$36/hr
NJ
New Jersey
$36/hr
OR
Oregon
$36/hr
RI
Rhode Island
$36/hr
VT
Vermont
$36/hr
AK
Alaska
$38/hr
CT
Connecticut
$38/hr
NH
New Hampshire
$38/hr
NY
New York
$38/hr
ND
North Dakota
$38/hr
WA
Washington
$38/hr
MA
Massachusetts
$40/hr
CA
California
$41/hr
National average: $33/hour. Sorted low-to-high. Estimates based on Genworth Cost of Care 2024 data, BLS wage data, and adjusted for 2026.

6 ways to reduce home care cost

Long-term care insurance

If you have a policy, file a claim. Most LTC policies reimburse non-medical home care at $4,000-$8,000 per month.

Medicaid HCBS waiver

If income/asset eligible, your state Medicaid program covers non-medical home care visits with EVV.

Veterans Affairs Aid & Attendance

Wartime veterans and surviving spouses can qualify for $1,500-$2,800 per month toward home care.

Family caregiver pay programs

In CDPAP/CDS states (NY, others), Medicaid pays family members or friends to provide care.

Live-in vs hourly

Live-in care (24-hour residence) often costs less per day than rotating-shift 24-hour hourly care.

Bundle services with ADLs

Some agencies offer discount pricing when you commit to 20+ hours/week or recurring weekly schedules.

AveeCare's role

AveeCare is the software home care agencies use to schedule visits, capture EVV, and bill payers. We do not directly provide in-home care to families. If you are evaluating agencies, the per-hour rate they charge you depends on geography, service type, and payer — not on the software they use.

Frequently asked questions

The national average for non-medical home care in 2026 is approximately $33-$38 per hour. Skilled home health (nursing or therapy delivered by Medicare) averages $50-$80 per hour but is typically paid by Medicare under PDGM. Costs vary widely by state: Massachusetts, California, and New York commonly run $40-$50 per hour; Mississippi, Louisiana, and Arkansas commonly run $25-$30 per hour. Long-term care insurance and Medicaid HCBS can reduce out-of-pocket cost significantly.
Most non-medical home care is priced hourly with an agency-set minimum visit length (typically 2-4 hours). Live-in care (caregiver resides with the client) is often a flat daily or weekly rate. 24-hour care delivered by rotating shift caregivers is hourly. Skilled home health (Medicare) is paid by 30-day episode under PDGM, not hourly. Most agencies have rate sheets that vary by service type, time of day, and weekend/holiday differential.
Options to reduce out-of-pocket: long-term care insurance reimbursement (if you have a policy), Medicaid HCBS waiver eligibility (income/asset limits apply), Veterans Affairs aid-and-attendance benefit, state-specific senior assistance programs, family-shared caregiving (some states offer paid family caregiver programs through CDPAP/CDS), private supplemental insurance riders, and Medicare-certified skilled home health for clinically appropriate care.
AveeCare is a software platform used by home care agencies, not an in-home care provider itself. Our pricing is for agencies: $6 per active client per month, month-to-month. The actual per-hour cost a family pays depends on the agency, geography, service type, and payer. We are happy to refer family caregivers to agencies in your area that use AveeCare.
CN
Calvin Nesvig
Founding Partner, AveeCare

Builds home care software full-time and works with home care agencies on workflow and software fit every week.

Run a home care agency?

See AveeCare. $6 / active client / month. Public pricing.