Cost of Care Trends & Insights

Since 2004, families across America have counted on us to help them understand the cost of care.

Our research in 429 cities and towns across all 50 states has not only helped individuals plan for their own care but helped policymakers with forecasting and legislative reform. In 2023, the 20th year of the survey, the United States continued to grapple with the aftermath of the COVID-19 pandemic, and the national median costs associated with all long-term care service providers increased compared to 2022 data.

Type of Service Rate Type2023 National Median Values2022 National Median ValuesYear-Over-Year Increase
HomemakerHourly$30$287.14%
Home Health AideHourly$33$3010.00%
Adult Day Services Daily$95$905.56%
Assisted Living Facility Monthly$5,350$5,2781.36%
Nursing Home Semi-Private Room Monthly$8,669$8,3044.40%
Nursing Home Private Room Monthly$9,733$9,2774.92%

Source: Genworth Cost of Care Survey, September through December 2023

Genworth Cost of Care 2004 - 2023

In-Home Care Costs1

$15

National hourly cost for a Home Health Aide in 20232

The median yearly cost of in-home care in the United States in 2023 was $75,504 for a Home Health Aide and $68,640 for Homemaker services. The hourly rate for a Home Health Aide ranged from $22 in Mississippi to $42 in Maine.

Private Room Nursing Home Costs3

$70,000

Annual National Median cost for a
Nursing Home Private Room in 20233

The median yearly cost of a private room in a nursing home in the United States in 2023 was $116,800. The daily rate for a private room in a nursing home ranged from $215 in Missouri to $1,137 in Alaska.

Assisted Living Facility Costs4

$20,000

Annual National Median cost for Assisted Living Facility care services in 20234

The median yearly cost of care in an Assisted Living Facility in the United States in 2023 was $64,200. The monthly rate for assisted living facility care ranged from $3,800 in Mississippi to $9,563 in the District of Columbia.

Cost of Care Supporting Insights

Next Steps: Plan for Long Term Care

Source: Genworth Cost of Care Survey, September through December 2023

  1. Based on 44 hours per week by 52 weeks

  2. As reported hourly cost.

  3. Based on 365 days of care.

  4. Based on 12 months of care, private, one bedroom. Referred to residential care facility in California

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