Las Vegas Home Care Costs: 2026 Published Hourly Rates
By Nicolas Sartor · 2026-09-16 · Updated 2026-09-18
Three published cost guides put non-medical home care in Las Vegas anywhere from $20.45 to $36 an hour as of September 2026, and they barely overlap. Care.com’s average starting rate sits at $20.45, Family Personal Care’s agency guide runs $25 to $35, and CareYaya tells families to plan on $34 to $36. The state licensing export carries no fee column, so quotes from the city’s 569 licensed agencies remain the only figures that apply to a specific household.
How many licensed home care agencies serve Las Vegas?
As of September 2026, 569 of Nevada’s 723 licensed home care agencies are based in Las Vegas. See Nevada home care by the numbers for the full statewide breakdown. That supply has not produced a settled price. A gap of $15.55 an hour separates the lowest published Las Vegas figure from the highest, and nothing on the Las Vegas roster tells you where a given agency will land inside it.
What hourly rates do the cost guides publish?
Three guides publish a Las Vegas number, and each is built differently. Care.com reports an average starting rate of $20.45 an hour for the city as of September 2026, with an average maximum of $24.09, drawn from rates that caregivers and providers list on its own marketplace. Family Personal Care, a North Las Vegas personal care licensee, puts non-medical personal care at $25 to $35 an hour in 2026 and notes that most families land around $28 to $32. CareYaya works from statewide Nevada benchmarks and gives $34 to $36 as its planning range for the metro.
Only the top of Family Personal Care’s range meets the bottom of CareYaya’s, at $34 to $35. Care.com’s entire band sits below both. None of the three describes a survey of Nevada’s licensed agencies.
Why do the published figures disagree?
Method explains most of the gap. Care.com’s $20.45 is the average starting rate reported by the service providers listed on its own hiring marketplace, and Care.com notes that it employs none of them; the page does not say how many are licensed agencies. Family Personal Care’s band is one agency’s own pricing, and CareYaya’s is a general planning range for nonmedical care that, it says, can include recruiting, training, scheduling, supervision, and backup coverage when the care is agency-based.
Geography covers some of the rest. CareYaya’s $34 to $36 is a statewide Nevada planning range applied to the Las Vegas metro, not a Las Vegas measurement. ElderLife Financial’s Nevada cost summary, which dates only its assisted living figure (Genworth, 2024) and gives no survey year for its hourly figures, puts Las Vegas at $27.45 an hour against $36.19 in Reno, the lowest and highest city averages it lists for the state. That summary is also what NevadaList’s comparison of home care, assisted living, and nursing homes quotes, $29.95 an hour for homemaker help and $32.45 for a home health aide. Seeing both pages means reading two publishers and two methods, not catching one of them in an error.
What factors affect the per-hour cost?
Training is the clearest driver. Family Personal Care says caregivers with advanced dementia or Alzheimer’s training may command higher rates, and CareYaya lists dementia supervision among the things that push its range up. Timing moves the number too. Family Personal Care puts awake overnight care at $28 to $38 an hour, above its own $25 to $35 daytime band, and notes that some agencies set a minimum visit length, often two to four hours.
Then there’s the license itself. Las Vegas personal care agencies handle companionship, meal preparation, and help with daily activities; the city’s home health agencies deliver skilled nursing, physical therapy, and other clinical services under a provider’s orders, and they bill accordingly. Statewide, the September 2026 licensing export counts 292 agencies endorsed for physical therapy, 286 for occupational therapy, and 261 for skilled nursing, work that carries higher hourly fees than any of the personal care ranges above.
Overhead accounts for the rest. Family Personal Care, writing from the operator’s side, says larger national franchises often carry higher overhead that shows up in their rates, while locally owned agencies may price lower. Nevada’s background-check requirements apply to every licensed agency, whatever its ownership.
What does a typical month of care cost?
Four hours of non-medical care five days a week comes to 80 hours a month. Priced at Care.com’s $20.45, that is $1,636; at the $36 top of CareYaya’s range, it is $2,880. Same schedule, same city, a $1,244 difference depending on which guide you price it from.
The guides publish monthly examples of their own, and those diverge too. Family Personal Care estimates $2,500 to $4,500 a month for part-time care of roughly four hours a day, and $5,000 to $8,500 at eight hours, and answers its own four-hours-five-days question at $2,200 to $3,600. CareYaya puts 20 hours a week at $2,900 to $3,100 and 40 hours at $5,900 to $6,200. Care.com’s monthly figure is $2,659 for 130 hours, about 30 hours a week, and its weekly figure is $818 for a full 40.
Round-the-clock coverage leaves hourly arithmetic behind. Family Personal Care estimates $5,500 to $12,000 a month for continuous care staffed by caregivers in rotation, and CareYaya puts eight hours a day, seven days a week at $8,300 to $8,700. Families weighing coverage at that level against a residential setting should read the three-way cost comparison first.
Where do these price ranges come from?
All three figures come from private publishers: one operating agency, a caregiver registry, and a caregiver hiring marketplace. None publishes a sample size. Care.com says its number is built from rates reported by providers listed on its site, CareYaya cites unnamed statewide Nevada benchmarks, and Family Personal Care gives no provenance at all. The HCQC licensing export carries no fee column, and NevadaList knows of no state-published rate schedule, so there is no official number to check any of them against.
That leaves families to request quotes directly. The September 2026 roster from Nevada’s Health Care Quality and Compliance lists contact information for all 723 licensed agencies, including the 569 in Las Vegas. Three or four calls will tell you more about what a specific agency charges than any published range can.
Medicaid waiver programs and veteran benefits sometimes cover part of the cost. See Nevada Medicaid Personal Care Services for how that program works. For participants in Nevada’s ADSD Medicaid waiver programs, Family Personal Care’s guide notes that the state sets the rate, not the agency, so the private-pay ranges above do not apply. For current pricing, contact agencies on the Nevada home care directory and ask for a written rate sheet that specifies day, night, and weekend fees.
Rate ranges above come from third-party cost guides, not a state-published fee schedule. Confirm current pricing and any Medicaid/benefit coverage directly with individual agencies and, for Medicaid specifically, with Nevada Medicaid.
Common questions
Why do the three published rates disagree by more than $15 an hour?
They measure different things. Care.com's $20.45 is the average starting rate reported by providers listed on its own marketplace. Family Personal Care's $25 to $35 is one North Las Vegas agency's published band, and CareYaya's $34 to $36 is a planning range built from statewide Nevada benchmarks; CareYaya adds that agency-based care can include recruiting, training, supervision, insurance, and backup coverage in its price.
How much does four hours of non-medical care daily cost each month?
Four hours five days a week is 80 hours a month, which prices at $1,636 using Care.com's $20.45 and $2,880 at the $36 top of CareYaya's range. Family Personal Care's own answer for exactly that schedule is $2,200 to $3,600 a month, below the $2,500 to $4,500 its care-setting comparison gives for part-time care of roughly four hours a day.
What do overnight and weekend hours cost?
More than daytime, and only one of the three guides attaches a figure: Family Personal Care's awake overnight band is $28 to $38 an hour, $3 above its daytime band at both ends. CareYaya flags nights, weekends, short shifts, and dementia supervision as rate premiums without publishing numbers, and Family Personal Care says weekend, evening, and holiday shifts may carry premiums with some agencies.
Do these published rates apply to Medicaid beneficiaries?
No. Family Personal Care's guide notes that rates for participants in Nevada's ADSD Medicaid waiver programs are set by the state, while private-pay rates are set by the agency, so the figures in this article describe the private-pay side only. Check coverage through Nevada Medicaid rather than assuming a published hourly rate applies.
Which skilled services carry the most agency endorsements in Nevada?
Statewide, the September 2026 licensing export shows 292 agencies endorsed for physical therapy, 286 for occupational therapy, and 261 for skilled nursing. Skilled work like that bills above the personal care rates quoted here, though none of the three guides puts a figure on the gap.
Why does this article quote different rates than NevadaList's care-setting comparison?
Different publishers and different methods. That comparison uses ElderLife Financial's Nevada summary: $29.95 an hour for homemaker help, $32.45 for a home health aide, and $27.45 for Las Vegas specifically, figures the page gives without a survey year (only its assisted living average is dated, Genworth 2024). The three guides above were published in 2026 and each gives a Las Vegas figure. Neither set is state-verified.
Should families request rate sheets from multiple Las Vegas agencies?
Yes, and in writing. Ask for a rate sheet that breaks out day, night, and weekend fees, plus any minimum visit length. Three or four quotes are enough to tell whether a number sits near the bottom or the top of a spread this wide.
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