Home Health Care costs, by state and province

Typical costs for home health care per hour. Level of care and geographic location. Open a market below for a local estimate.

Home health care includes personal care, companionship, and skilled nursing provided at home. In the US, hourly rates range from $20 to $40 for homemaker services, while skilled nursing can cost $50–$100 per hour. Canadian private home care ranges from CAD 25 to CAD 50 per hour.

Hourly vs Live-In Care Pricing

Hourly home health aides charge $20–$35 per hour in most US markets, with live-in care averaging $250–$350 per day. In Canada, live-in care runs CAD 200–CAD 300 per day. Skilled services like wound care or medication management add $15–$30 per hour.

Factors Affecting the Cost

Geographic location strongly influences rates—care in metropolitan areas like San Francisco or Toronto costs 30–50% more than rural areas. The level of medical training also matters: certified nursing assistants cost $25–$35 per hour, while a registered nurse charges $70–$100.

Insurance and Public Funding Options

Medicare covers limited home health care (skilled care only), while Medicaid may cover long-term personal care in some states. In Canada, provincial health plans fund some home care after assessment, but private pay is common for non-medical help—often $25–$40 per hour.

Typical Home Health Care prices
ItemTypical range
Average hourly homemaker$20 - $35
Skilled nursing hourly$70 - $100
Live-in daily rate$250 - $350
Canadian private care hourly$25 - $40

Every market for home health care costs

383 markets have a page, each with a typical range where we have one and plain guidance on what moves the price.

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