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Free tool · Home care agencies

Home Care Hourly Rate Calculator

Start with a caregiver's hourly wage and see your fully loaded cost per billable hour, the bill rate that hits your target margin, and your margin at the rate you charge today. Free, with no signup.

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The calculator

What does an hour of care cost you?

Leave a field blank to count it as zero. Nothing you enter leaves your browser.

$

What you pay the caregiver per hour.

%

Share of worked hours paid at 1.5 times the base wage.

%

As a percent of billable hours, paid at the base wage.

hrs

Unemployment taxes stop after the first wages each year, so this sets the per-hour cost. 1,040 is about 20 hours a week.

%

From your state rate notice. In Illinois, find it on your IDES notice.

$

Per employee, per year. Illinois 2026 is $14,250 (IDES).

$

From your policy or quote. Enter your own rate.

$

Training, mileage, supervision, EVV and scheduling software.

%

Office and admin costs divided by direct costs (wages, taxes, comp, other).

%

Share of the bill rate you want to keep as profit.

$

Enter the rate you are paid to see your margin at that rate.

Your result

Enter the base hourly wage and your costs, then select Calculate cost per hour. Your cost stack and suggested bill rate appear here.

The method

How the calculation works

Everything is expressed per billable hour, meaning an hour you can bill a client for. The calculator builds the cost one layer at a time, then divides by one minus your target margin to get a bill rate.

  • Wage: your base wage, plus a half-time premium on the share of hours that are overtime (paid at 1.5 times), plus paid time off, which is paid at the base wage but not billed.
  • Employer FICA: 7.65% of wages (6.2% Social Security plus 1.45% Medicare), per IRS Publication 15.
  • Federal unemployment (FUTA): 0.6% net rate on the first $7,000 paid to each employee, spread across the hours that caregiver works in the year.
  • State unemployment (SUTA): your rate times your state's taxable wage base, spread across the same hours. Both come from your state notice, so you enter them.
  • Workers' compensation: your rate per $100 of payroll, applied to wages. Premiums are class-code dependent, so the calculator has no default rate.
  • Other per-hour costs: training, mileage, supervision, EVV and scheduling software, anything you can tie to an hour of care.
  • Overhead: a percentage of the direct cost above, so it scales with the wage you pay. Use the percentage that matches your office costs divided by your direct cost.
  • Bill rate: total cost per hour divided by (1 minus margin). A 10% margin on a $28.52 cost is $31.69, not $31.37, because margin is a share of the price.

Why the hours input matters: FUTA and SUTA are charged on only the first dollars each employee earns in the year, so the cost per hour is higher for a caregiver who works 500 hours than for one who works 2,000. The default of 1,040 hours (about 20 hours a week) is an example. Use your own average billable hours per caregiver.

Why the number moves

What drives home care costs in 2027

Wage floors are the biggest driver, and they ripple through every other line: payroll taxes, workers' compensation and overtime premiums all scale with the wage. See what confirmed and pending 2027 wage floors do to home care margins for the state-by-state figures.

The second driver is how many hours each caregiver actually works. Unemployment taxes and training costs are spread over fewer hours when schedules are thin. Our guide to caregiver payroll covers the payroll mechanics behind each line in the cost stack.

The third is the rate you are paid. Medicaid and state program rates, such as the Illinois Community Care Program, are set by the payer, not by your cost. This calculator helps you compare your cost per hour against the rate you receive so you know where each program stands. If you are an Illinois provider, the IDOA cost report is where those costs are reported.

This calculator provides general information, not tax, legal or pricing advice. It runs in your browser, and nothing you enter is stored or sent. FUTA assumes you receive the full 5.4% credit. If your state is a FUTA credit reduction state, your net rate is higher. State unemployment rates and wage bases, and workers' compensation rates, change by state, employer and year, so enter the figures from your own notices. The calculator does not include state-specific payroll taxes beyond unemployment, benefits, or wage-parity obligations.

What happens next

  1. 01

    Free 20-minute call

    Tell Christian about your agency and what is on your plate. No pitch deck, no pressure.

  2. 02

    Written fee quote

    You get a clear written quote for the work before we start. No surprises.

  3. 03

    We handle it

    Your CPA team takes it from there and keeps you posted until it is filed.

FAQ

Home care rate questions, answered

Still have questions? Ask them on a free 20-minute call.

How do I calculate the cost per hour of a home care aide?

Start with the hourly wage, add overtime and paid time off, then add employer payroll taxes, workers' compensation, other per-hour costs such as training and mileage, and overhead. The total is your cost per billable hour. This calculator does each step and shows the cost stack.

How do I calculate a bill rate from my cost?

Divide your cost per hour by one minus your target margin. For a cost of $28.52 and a 10% margin, the bill rate is $28.52 divided by 0.90, or $31.69. Adding 10% to the cost instead would give $31.37 and a real margin of only 9.1%.

What is the difference between margin and markup?

Margin is profit as a share of the bill rate. Markup is profit as a share of cost. A 10% margin needs about an 11.1% markup. Mixing the two is a common reason agencies price too low.

What employer payroll taxes apply to caregivers?

Employer FICA is 7.65% of wages: 6.2% Social Security and 1.45% Medicare (IRS Publication 15). Federal unemployment tax is 0.6% net on the first $7,000 per employee, and your state charges its own unemployment tax on its own wage base. Your state may add other payroll taxes.

Why is FUTA converted to a per-hour cost using hours per caregiver?

FUTA applies to only the first $7,000 paid to each employee in a year. That is a fixed dollar amount per caregiver, so the cost per hour depends on how many hours the caregiver works. The same is true of state unemployment tax. Fewer hours per caregiver means a higher cost per hour.

What is the Illinois unemployment taxable wage base for 2026?

$14,250 per employee, according to the IDES 2026 Historical Rate Chart. Your own contribution rate is on the rate notice IDES sends you, so find it there and enter it. Rates differ by employer.

Where do I find my state unemployment rate and workers' compensation rate?

Your state unemployment rate is on the rate notice from your state workforce agency. In Illinois, that agency is IDES. Your workers' compensation rate per $100 of payroll is on your policy or your carrier's quote and depends on your class code and claims history.

How is overtime handled in the calculator?

You enter the share of worked hours paid at 1.5 times the base wage, and the calculator adds a half-time premium on that share. It does not decide whether overtime is required for your caregivers. That depends on the federal and state rules that apply to you.

How is paid time off treated?

As a percentage of billable hours, paid at the base wage but not billed. If caregivers earn 3% paid time off, the calculator adds 3% of the base wage to the cost of every billable hour.

Can I use this for Medicaid or Illinois Community Care Program rates?

Yes, as a comparison. Medicaid and state program rates are set by the payer, not by you. Enter the rate you are paid in the optional current bill rate field to see your margin at that rate, or negative margin, and decide where to focus.

What overhead percentage should I use?

Divide your annual office and administrative costs by your annual direct costs (wages, payroll taxes, workers' compensation and other per-hour costs). If you are unsure, your accountant can pull both numbers from your books.

Free 20-minute call

Want a CPA to review your cost per hour and rates?

Talk directly with Christian Soriaga, CPA. No pitch deck, no obligation.

On the call we’ll cover

  • Your situation and what is due next
  • Deadlines and filing status
  • A clear written fee quote
  • Clear next steps, no obligation
Christian Soriaga, CPA

Christian Soriaga, CPA

Soriaga & Associates, LLC

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