Visiting Angels is one of the largest non-medical home care networks in the country, and the single most useful thing to know about its pricing is that there is no national price. Every location is an independently owned franchise that sets its own rates, and the corporate cost page says exactly that: expenses “vary across the country,” and you have to check your local office for specific rates.
That is not a dodge, and it is not a gap in this guide. It is the structure of the business, and it means the honest answer is a range built from the offices that actually publish numbers. Below are the rates and weekly packages posted on Visiting Angels franchise pages as of September 2026, anchored against the national median for the same service.
What Does Visiting Angels Cost Without Insurance?
Five franchise offices publish enough detail to price real schedules. Orlando and Winter Park posts $31 to $36 an hour. Portage, Ohio says rates “start at $32/hour and go up based upon the needs and hours.” Palm Beach Gardens puts the local average at $31.71 an hour. Denver does not publish an hourly rate at all, only weekly packages, which work out to roughly $38 to $48 an hour.
| Schedule or service | Low | Typical | High |
|---|---|---|---|
| Hourly rate, published franchise pages | $31 | $32-$36 | $48 |
| 12 hours a week, per week | $385 | $459-$561 | $600 |
| 20 hours a week, per month | $2,685 | $2,950-$3,120 | $4,160 |
| 25 hours a week, per week | $800 | $800-$900 | $1,000 |
| 40 hours a week, per week | $1,280 | $1,280-$1,400 | $1,580 |
| 40 hours a week, per month | $5,370 | $5,540-$6,060 | $8,320 |
| 84 hours a week (12 hours a day), per week | $2,700 | $2,700-$3,200 | $3,400 |
| 24-hour care, per week | $5,400 | $6,500-$7,000 | $7,650 |
| 24-hour care, per month | $23,400 | $26,000-$30,000 | $33,125 |
| National non-medical caregiver median (CareScout 2025) | n/a | $35/hour | n/a |
The monthly rows for 20 and 40 hours a week are arithmetic on the published hourly range (hours per week times 4.33 weeks). The weekly package rows are quoted directly from the Orlando, Palm Beach Gardens, Portage and Denver pages.
For context, the 2025 CareScout Cost of Care Survey, fielded July through November 2025, puts the national median for a non-medical caregiver at $35 an hour, up 3% year over year. Visiting Angels rates sit right on top of that median at the low end and above it in high-cost metros, which is what you would expect from a staffed agency rather than a directly hired caregiver.
What Drives the Price
Which franchise territory you are in. This is the biggest single factor. The same company, the same service and the same week of care ranged from $31 an hour in central Florida to roughly $48 an hour in Denver among the offices we checked. Rates track local caregiver wages, and those vary enormously by metro.
Minimum visit length. Orlando requires a four-hour minimum per visit with no weekly minimum. Other offices flip that, setting a weekly floor instead. A one-hour medication check billed at a four-hour minimum costs four hours, so the minimum rule often matters more to your monthly total than the hourly rate.
Level of care. Companion care, hands-on personal care and specialized dementia support are usually three different prices. Orlando’s published companionship packages run 4 to 15 hours a week at $124 to $465 a week, while its Alzheimer’s and dementia packages run 12 to 56 hours a week at $360 to $2,016 a week.
Nights, weekends and holidays. Most offices charge a premium for evening, overnight, weekend and holiday shifts. Ask for the full rate card in writing, including the holiday list, not just the weekday number.
Total hours booked. Several offices price longer, more consistent schedules at a better effective rate. Palm Beach Gardens quotes 40 hours a week at $1,280 to $1,580, which is $32 to $39.50 an hour, versus a higher effective rate on its smallest package.
The 24-Hour Math Nobody Warns You About
Around-the-clock staffed care is where home care stops being the cheaper option. Franchise pages quote $5,400 to $7,650 a week for 24-hour coverage, which is roughly $23,400 to $33,000 a month.
Compare that with CareScout’s 2025 national medians: $6,200 a month for assisted living and $315 a day (about $9,581 a month) for a semi-private nursing home room. Twenty-four-hour home care is two to four times the cost of moving.
If someone needs continuous awake supervision, price assisted living, memory care and nursing home care before you commit. A live-in caregiver is a different and much cheaper structure than three shifts a day, because a live-in sleeps at the house and is not paid for sleep hours. Many families land on a hybrid instead: a weekday adult day program plus evening aide hours.
Cash Price vs. Insurance
There is no insurance to bill for most of what Visiting Angels does, which surprises almost everyone.
Medicare pays nothing for this service. Medicare.gov is explicit that it does not cover 24-hour-a-day care at home, home meal delivery, homemaker services unrelated to your care plan, or custodial and personal care when that is the only care you need. Non-medical companion and personal care is exactly that category.
Medicare-certified home health is a separate product that costs $0. If a doctor certifies that the person is homebound and needs part-time or intermittent skilled nursing, physical therapy, occupational therapy or speech-language pathology, Medicare covers it with no cost sharing (you pay 20% only on durable medical equipment after the Part B deductible). Ask the physician about a home health referral before you sign a private-duty contract. Our home health care cost guide walks through where that line falls.
Long-term care insurance is the main policy that does pay. Many Visiting Angels offices bill LTC carriers directly. Check your elimination period, the daily or monthly benefit cap, and whether the policy requires a licensed agency (which Visiting Angels is) or allows an independent caregiver.
Medicaid and VA benefits fill part of the gap. State Medicaid home and community-based services waivers cover personal care and homemaker services for people who meet the state’s level-of-care and financial rules, and some Visiting Angels offices accept Medicaid. On the VA side, Aid and Attendance is an add-on to a VA pension: for the period beginning December 1, 2025, the Maximum Annual Pension Rate with Aid and Attendance is $29,093 for a veteran with no dependents and $34,488 with one dependent, with a net worth limit of $163,699 through November 30, 2026. Paid caregiving counts as an unreimbursed medical expense that reduces countable income.
How to Pay Less
Get quotes from three offices, including the neighboring territory. Franchise pricing is local, and if you live near a territory boundary the office one town over may be materially cheaper. Ask each for the hourly rate, the minimum visit, the weekly minimum, and the weekend and holiday premiums. Run the quote through our fair price checker against the national median before you sign.
Consolidate scattered visits into fewer, longer shifts. With a four-hour minimum, sixteen one-hour drop-ins bill like sixty-four hours. Four four-hour shifts usually cost less and deliver better continuity.
Substitute an adult day program for daytime hours. A full day at a licensed adult day center costs a fraction of an eight-hour in-home shift, which runs roughly $250 to $385 at the rates above. See our adult day care cost guide for the current national numbers.
Compare a directly hired caregiver against the agency rate. Hiring through a marketplace like Care.com typically costs less per hour, because you skip the agency margin, but you take on payroll taxes, background checks, backup coverage and liability yourself. Price both and decide with the full picture.
Do not put recurring care on a deferred-interest medical credit card. Home care is an ongoing expense, not a one-time bill, and an unpaid balance becomes ordinary consumer debt. Our guide to medical bills in collections explains what happens next.
Audit the invoices. Agency bills carry mileage, holiday premiums, minimum-visit charges and shift differentials that are easy to misapply. The same line-by-line review we describe in how to negotiate medical bills works on a home care invoice, and asking for a corrected statement is normal.
The Bottom Line
Budget $31 to $48 an hour for Visiting Angels in 2026, with most published offices clustered in the low-to-mid $30s. Twenty hours a week runs roughly $2,685 to $4,160 a month, and full-time weekday care runs about $1,280 to $1,580 a week.
Because every office is independently owned, the number that matters is the one your local territory quotes, in writing, with the minimums and premiums spelled out. And before you buy a single hour, confirm whether the person qualifies for Medicare-certified home health, Medicaid HCBS, or VA Aid and Attendance. The most expensive mistake in this category is paying cash for care a program was already obligated to cover.