Estimate home care costs in your state. Select your location, care type, and weekly hours to see real-time cost estimates based on 2026 median rates.
Choose your state from the dropdown to see estimated home care costs based on 2026 median rates.
Rates shown are median estimates for 2026. Actual costs vary by agency, caregiver experience, specific care needs, and time of day. Data sources: A Place for Mom, Genworth Cost of Care Survey.
The national median for home care in 2026 is approximately $35/hour. Here is what drives those numbers.
Companion care focuses on socialization, light housekeeping, meal preparation, errands, and transportation. It does not typically include hands-on physical assistance and is the most affordable option for seniors who are largely independent but need company and help with daily tasks.
National median: $27/hr
Personal care includes hands-on assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, toileting, and mobility support. This level of care is appropriate for individuals who need physical help but do not require medical interventions.
National median: $30/hr
Skilled nursing involves medical care administered by licensed nurses (RNs or LPNs). This includes medication management, wound care, IV therapy, and clinical monitoring. It is the most expensive tier due to the clinical expertise and licensing required.
National median: $38/hr
Costs vary significantly by state and metro area. Urban areas and states with higher costs of living tend to have higher rates.
Evening, weekend, and holiday shifts often carry premiums. Live-in care may have a lower hourly rate but higher total cost.
Specialized care such as dementia support, post-surgery recovery, or chronic condition management costs more than basic companion care.
Caregivers with certifications (CNA, HHA) or extensive experience typically command higher hourly rates.
Sources: A Place for Mom, Genworth Cost of Care Survey
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