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Cost of In-Home Care Per Hour

Hourly rates for every type of home care — and what makes them vary.

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Quick answer

In-home care costs about $30 to $35 per hour on average in 2025, with a national median near $34 for a home health aide, according to Genworth's Cost of Care Survey. Companion care often costs slightly less, while skilled nursing costs more.

The hourly cost of in-home care varies by care type and region; here's what to expect in 2025.

What does in-home care cost per hour by type?

Hourly rates rise with the level of care. Companion care (non-medical support, errands, supervision) typically runs $25–$32 per hour. Personal care and home health aides, who provide hands-on help with bathing and dressing, average about $34 per hour nationally in 2025, per Genworth. Skilled care from licensed nurses costs much more — $40 to $100+ per hour for private duty nursing. These are medians; your local rate depends on geography, the agency, and timing. Knowing which level your loved one needs is the first step to an accurate estimate.

What factors change the hourly cost?

Location is the largest factor — high-cost coastal and metro areas often top $40 an hour, while parts of the South and Midwest cost less. Other factors: agency versus independent hiring (agencies cost more but include insurance, screening, and backup), weekend, overnight, and holiday premiums, minimum-hour visit requirements, and total weekly hours. Caregiver shortages have pushed rates up in recent years, so use current figures. Call 1-800-MEDIGAP for the hourly cost in your area and help comparing options.

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Frequently asked questions

How much is in-home care per hour in 2025?+

In-home care averages about $30–$35 per hour in 2025, with a national median near $34 for a home health aide, according to Genworth's Cost of Care Survey. Companion care often runs a bit less; skilled nursing costs considerably more.

Why does the hourly cost vary so much?+

Rates depend on care level, location, agency versus independent hiring, and timing. High-cost metro areas can exceed $40 an hour, while lower-cost regions run less. Nights, weekends, holidays, and minimum-hour visits also push the effective rate higher.

Is companion care cheaper than personal care?+

Usually, yes. Companion care is non-medical — conversation, errands, supervision, light housekeeping — and often runs $25–$32 per hour. Personal care adds hands-on help with bathing and dressing and averages about $34 per hour, so it typically costs a few dollars more.

How do I get an accurate hourly quote?+

Call 1-800-MEDIGAP (1-800-633-4427) for free help. An advisor can identify the care level you need, share current local rates, explain minimums and premiums, and connect you with vetted agencies that provide transparent hourly pricing in your area.

Talk to a licensed specialist — free.

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Cost of In-Home Care Per Hour 2025 | 1-800-MEDIGAP