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In-home care costs in North Carolina (2025)

The median non-medical caregiver rate in North Carolina is $30 an hour — 14% below the national median of $35 — and homemaker services at 44 hours a week cost about $68,640 a year ($5,720 a month).

Median costs in North Carolina (2025)

ServiceMedian
Non-medical caregiver$30/hour
Homemaker services (44 h/week)$68,640 a year ($5,720/mo)
Adult day health care (5 days/week)$21,970 a year ($1,831/mo)

Model the hours you actually need

Hours per weekAnnual cost at $30/hour
8 hours$12,480
20 hours$31,200
30 hours$46,800
44 hours$68,640

What these figures cover

Private-pay medians for non-medical help at home — bathing, dressing, meals, mobility and companionship. Skilled nursing and therapy are covered separately by Medicare home health when you are homebound and a doctor orders them. Agency rates may be higher than direct-hire rates but include insurance and replacement cover.

Home health agencies in North Carolina

Compare the local Medicare-certified agencies and their CMS ratings: all home health agencies in North Carolina.

Related

How much does home care cost? · Home health vs home care · How to choose an agency · Costs by state

Frequently asked questions

How much does home care cost in North Carolina?

The 2025 CareScout survey median for a non-medical caregiver in North Carolina is $30 per hour; at 44 hours a week that is about $68,640 a year.

How much is adult day care in North Carolina?

The median adult day health care rate in North Carolina is $21,970 a year ($1,831 a month) based on five days a week.

Does Medicare pay for home care in North Carolina?

Medicare covers skilled, intermittent home health care when you are homebound and a doctor orders it - not non-medical custodial help. See the Medicare home health guide.

Written and maintained by the US Home Health data team · last reviewed 2026-10-24 · sources and methodology.