Las Vegas home care rates in 2026
These are the current market ranges for quality, licensed agency care in the Las Vegas Valley. They cover Las Vegas, Henderson, Summerlin, North Las Vegas and the surrounding communities.
| Type of care | What it includes | Typical hourly range |
|---|---|---|
| Companion care | Company, supervision, meals, light housekeeping, errands, reminders | $32 to $36 |
| Personal care | Bathing, dressing, toileting, transfers and mobility help | $35 to $40 |
| Specialized dementia care | Memory care trained aides, behavior and wandering management | $38 to $42 |
| 24-hour and live-in | Continuous coverage, including overnight | Flat daily rate, quoted in writing |
One flat hourly rate covers everything: the caregiver's wages, payroll taxes, liability and workers' compensation insurance, supervision by a registered nurse, and guaranteed backup coverage if your regular aide is ever out. You are not paying those costs separately, and you are not the caregiver's employer. See how that compares to a facility bill.
What that means per week and per month
Hours drive the bill more than the hourly rate does. Here is what typical plans actually cost, using companion and personal care rates.
| Plan | Hours per week | Estimated monthly cost |
|---|---|---|
| A few visits a week (companion) | 12 hours | About $1,700 to $1,900 |
| 4 hours a day, 5 days (companion) | 20 hours | About $2,800 to $3,100 |
| 4 hours a day, 7 days (personal) | 28 hours | About $4,200 to $4,900 |
| 8 hours a day, weekdays (personal) | 40 hours | About $6,100 to $6,900 |
| Live-in, around the clock | Continuous | Flat daily rate (see below) |
Monthly figures assume roughly 4.3 weeks per month and are estimates for planning. Your written quote is exact. Estimate your own plan with our cost calculator.
Hourly, 24-hour, or live-in: which is cheaper?
Once someone needs more than about 10 or 12 hours of care a day, paying by the hour around the clock stops making sense. Twenty-four hours of hourly care can exceed 20,000 dollars a month. That is exactly why live-in care exists: a single flat daily rate for continuous coverage, at a large discount to hourly. If your loved one needs overnight help or constant supervision, read how much 24-hour and live-in care costs before you decide.
What makes the price go up or down
- Level of care. Companionship costs less than hands-on personal care, which costs less than specialized dementia or complex medical care.
- Total hours. More hours means a bigger bill, but longer shifts and 24-hour packages carry a lower effective hourly rate.
- Timing. Overnight, weekend and holiday hours can carry a modest premium at most agencies.
- Skill required. A home health aide costs less per hour than a licensed nurse for tasks like wound care or injections. Many families mix both.
- Who pays. Medicare, Medicaid, VA or long-term care insurance can cover part or all of the bill, which changes what you pay out of pocket to zero in some cases.
How to pay less than the sticker price
The hourly rate is what you pay before benefits. Most families qualify for at least one program that lowers or eliminates the out-of-pocket cost:
- Medicare pays 100 percent for physician-ordered skilled nursing, therapy and aide visits when your loved one is homebound. See the Medicare rules.
- Nevada Medicaid covers personal care for eligible members, and its Home and Community Based Waivers can fund substantial weekly hours.
- VA benefits, including Aid and Attendance, are worth over 2,300 dollars a month for many married veterans and surviving spouses.
- Long-term care insurance reimburses most of our services. We bill many carriers directly.
We verify all of this for free, in writing, before care begins. See every way to pay for home care or read the full paying for home care guide.
Why we publish our prices
The home care industry loves to hide its rates behind a sales call. We do the opposite, because families deserve real numbers before they spend an hour on the phone. Every quote we give is free, in writing, and carries no enrollment fee, no deposit and no contract. Compare it to any agency in the valley. We are confident where we land.
How much does in-home care cost per hour in Las Vegas?
In 2026, quality agency home care in the Las Vegas Valley runs about 32 to 42 dollars per hour. Companion care is roughly 32 to 36 dollars, personal care with bathing and mobility help is about 35 to 40 dollars, and specialized dementia care is around 38 to 42 dollars. 24-hour and live-in care is billed as a flat daily rate, which lowers the effective hourly cost. Your exact rate is quoted in writing after a free assessment, with no enrollment fee, deposit or contract.
What is the average monthly cost of home care in Las Vegas?
It depends entirely on hours. A common plan of 4 hours a day, 5 days a week of companion care runs roughly 2,800 to 3,100 dollars a month. Full weekday coverage of 8 hours a day is about 6,100 to 6,900 dollars a month. Around-the-clock live-in care is quoted as a flat daily rate. Because you pay only for the hours you use, home care scales to almost any budget, which a facility bill does not.
Is there a minimum number of hours?
Yes. Our minimum visit is 4 hours, which is among the most flexible in the valley (many agencies require longer). There is no long-term contract. You can change or stop care with 48 hours notice and no penalty, so you never pay for hours you do not need.
Does Medicare or Medicaid pay for home care?
Often, yes. When a physician orders skilled care and your loved one is homebound, Original Medicare pays 100 percent for nursing, therapy and aide visits. Nevada Medicaid covers personal care for eligible members, and its waiver programs can fund substantial weekly hours. Veterans may qualify for VA benefits worth over 2,300 dollars a month. We verify all of this for free before care begins.
Why do agencies hide their prices?
Because opacity protects margin. Most agencies make you sit through a sales call before they name a number. We publish our Las Vegas Valley ranges in writing so you can compare before you ever pick up the phone. The exact quote for your situation is free and comes with no obligation.