Updated August 25, 2026. Quick answer: Two firms in this census publish a complete care-management fee schedule, line by line, and both are reproduced below. Published hourly rates in those two schedules run from $80 to $210, with a monthly minimum in both. The bands you see quoted elsewhere – $75 to $200, $100 to $250 – have no source attached, and at least one of them is attributed to a firm that never published it.
What this role is, from the association that defines it
The trade body is the Aging Life Care Association. In its words, “Aging Life Care Professionals® (also known as geriatric care managers) have varied educational and professional backgrounds with a specialized focus on issues associated with aging and disabilities.”
Two facts about the association matter when you are checking a credential. It is not new under a new name by accident: “On May 1, 2015, NAPGCM changed their name to Aging Life Care Association”, so older material about the National Association of Professional Geriatric Care Managers is about the same body. And its standards are maintained – “The standards were most recently updated in November 2024.”
What the association does not publish on its membership page is what each membership level requires or costs: “For more information on membership criteria, benefits, and fees, download a membership application.” So a member badge tells you the person is a member. On the public page, it does not tell you which level or what that level required.
This closes a gap we published earlier. On our page about aging without family nearby we wrote that we could not describe this role because the association’s site blocked every request we made. It served this session, and the above is what it says.
The two published fee schedules
These are the two firms in the census that publish a full schedule rather than a range. Both are reproduced as published.
| Aging Care Advocates — published schedule | Rate |
|---|---|
| Initial phone discussion | No charge |
| Ongoing care management | $155 per hour |
| Consultations | $155 per hour |
| After hours, weekends and holidays | $210 per hour |
| Comprehensive assessment and evaluation | $2,000 individual / $2,750 couple |
| Minimum | one hour a month |
As published: “Service Fees & Rates The fee schedules are for all services as follows: No Charge – Initial Phone Discussion $155 per hour – Ongoing Care Management Services $155 per hour – Consultations $210 per hour – After Hours (5:01pm-8:59am, weekends, and holidays) *There is a one-hour monthly minimum for our services.”
| Geriatric Assessment, Management & Solutions — published schedule | Rate |
|---|---|
| Psychosocial assessment | $120/hour |
| Care management (Aging Life Care Specialist) | $120/hour |
| Principal fiduciary | $145/hour |
| Aging Life Care Assistant (para-professional) | $80/hour |
| Mediset visit by a licensed nurse | $120/visit |
| Support services by office staff | $50/hour |
| Health care power of attorney appointment | $450 individual / $600 couple |
| Retainer | $500, refundable, before anything is scheduled |
| Minimum | one one-hour visit each month |
As published: “A refundable $500.00 retainer is required and must be provided upon engagement of services, prior to any services being scheduled or performed.”
Note what both have in common besides the rate: a minimum. One requires a one-hour monthly minimum; the other requires a minimum one-hour visit each month and a refundable $500 retainer before anything is scheduled. A quoted hourly rate without the minimum is an incomplete price.
The number that was attributed to a firm that never published it
One page ranking for this question tells its readers that a named firm “publishes $125 to $200 per hour and $300 to $800 for an initial assessment.”
That firm’s page is titled with the question of what these professionals generally charge, and the sentence on it reads: “Rates are typically $300 to $800 for an initial assessment and $125 to $200 per hour, depending on the region.” That is a statement about the market. It is not that firm’s price list, and the difference is the whole difference between a source and a guess.
The same ranking page attributes $225 an hour to a second named firm. That firm’s own frequently-asked-questions page, fetched this session, contains no dollar figures.
We are not naming the two firms as wrongdoers – they published nothing wrong. The error belongs to the page that turned a general sentence into a specific attribution, and it is the reason this page prints the sentence each firm actually wrote.
What to ask before you engage one
Ask for the fee schedule in writing, and read it for the minimum, the after-hours rate and the travel policy – the schedules above show all three vary.
Ask what the assessment produces. In one of these schedules the assessment is a formal written report with recommendations and a plan of care; in the other it is a separate line at a separate price. Comparing two assessment fees without comparing the two deliverables compares nothing.
Ask who does the work – both schedules price a supervising professional and an assistant differently, and the assistant’s rate is not the professional’s rate.
Ask whether this is care management or fiduciary work. They are priced separately in one of the schedules above because they are different jobs, and the fiduciary job is the one that touches money. Our page on what a professional fiduciary costs covers that side.
What this page does not settle
Scope: two published fee schedules and one trade association’s public pages, read on the date above. There is no national rate for this service, none is computed here, and two firms are not a market. Membership criteria behind the association’s levels sit in a downloadable application that was not read.
Two published schedules are two firms. There is no national rate for this service and this page does not invent one.
The membership criteria behind the ALCA levels are in a downloadable application, not on the page; they were not read this session, so nothing here says what any level requires.
Geriatric care management is private pay. No claim is made here about whether any insurance policy reimburses it.
Sources
- Aging Life Care Association, Code of Ethics and Standards of Practice (read 2026-08-24) — https://www.aginglifecare.org/ALCAWEB/About%20Us/Code_of_Ethics_and_Standards_of_Practice/ALCAWEB/About_Us/Code_of_Ethics_and_Standards_of_Practice.aspx
- Aging Life Care Association, Membership Information (read 2026-08-24) — https://www.aginglifecare.org/ALCAWEB/Join_ALCA/Membership_Information.aspx
- Aging Life Care Association, home page (read 2026-08-24) — https://www.aginglifecare.org/
Related: Elder Law Attorney Cost for Medicaid Planning · Certified Medicaid Planner vs Elder Law Attorney · the money-side equivalent of this role · what a professional fiduciary costs.
General information drawn from the primary statutes, regulations, court opinions and published fee schedules named above, not legal, tax or financial advice. Fees change and the figures here are what each publisher stated on the date above; check the source before relying on it.