Hiring 24-hour home care in the United States can be a critical solution for individuals who require constant assistance due to age, disability, or medical conditions. As the need for in-home support services continues to rise, understanding the cost is essential for families planning care for a loved one.
What Is 24-Hour Home Care?
This level of care involves having one or more caregivers available at all times—day and night—to assist with daily activities such as:
- Personal hygiene
- Meal preparation
- Medication reminders
- Mobility support
- Companionship
- Emergency monitoring
Depending on the provider, care may be delivered by live-in aides or in rotating 8–12-hour shifts by different staff members.
Average Costs in the USA (2025)
The cost for 24-hour home care depends on the type of care required, location, and whether services are provided through an agency or privately hired aides. Here’s a breakdown of the average price ranges:
| Care Type | Estimated Monthly Cost |
|---|---|
| Basic Companion Care | $8,500 – $10,000/month |
| Personal/Home Health Aide | $10,500 – $14,000/month |
| Skilled Nursing Support | $15,000 – $20,000+/month |
Hourly rates typically range from $25 to $40 per hour, with overnight rates slightly lower if the caregiver is allowed to sleep during certain hours.
Factors That Affect the Cost
- Location: Urban areas have higher rates due to demand and living costs.
- Medical Needs: Skilled care for chronic or post-surgery patients costs more.
- Shift Structure: Live-in care may be cheaper than hourly rotating shifts.
Conclusion
In 2025, the cost of 24-hour home care in the USA reflects both the growing demand for in-home services and the high quality of support offered. For those needing full-time help, planning ahead and comparing provider rates is key to managing costs without compromising care.