Guide · PricingPublished August 20269-minute read

Home care software pricing: what agencies actually pay.

Most home care software vendors don’t publish pricing, which makes budgeting a guessing game. This page collects the real ranges: what each major platform’s pricing model is, what a mid-market agency typically pays, and the implementation costs the license quote leaves out. Where a vendor is genuinely quote-only, we say so instead of inventing a number.

By the HeyHomeCare team. We integrate with AxisCare, HHAeXchange, AlayaCare, and the other platforms on this page — we sell the layer on top, not the platforms themselves.

Quick verdict

For a 50-caregiver non-medical agency, expect roughly $300–600/month on AxisCare, $500–1,500 on WellSky Personal Care, or $1,000–3,000 on AlayaCare. Medicaid platforms price per billable hour, and enterprise clinical suites are quoted. Budget the migration (60–90 days of disruption) alongside the subscription — that’s where switching actually costs you.

01 / The models

Four pricing models, decoded.

Every platform quote you receive is one of four underlying models. Knowing which one you’re in tells you how the bill scales as you grow:

Per active caregiver (AxisCare) — the bill tracks roster size. Predictable, and forgiving of seasonal hour swings; the model most non-medical agencies prefer.
Per module + per user (AlayaCare) — you assemble the platform from modules and pay for office seats. Powerful, but scope creep shows up as line items; pin the module list in the quote.
Per billable hour + monthly fee (HHAeXchange) — spend tracks Medicaid volume. Fair when reimbursement scales with it, but it means your software bill rises with your best months.
Enterprise per-license / per-bed (WellSky, Axxess, PointClickCare) — negotiated contracts sized to census and product mix. Published rates are rare; multi-year terms and implementation fees are standard.

02 / The numbers

The six platforms, priced side by side.

Home care software pricing — 2026 (typical published or quoted ranges)
	AxisCare	AlayaCare	HHAeXchange	WellSky	Axxess	PointClickCare
Pricing model	Per active caregiver	Per module + per user	Per-billable-hour + monthly fee	Enterprise per-license	Per user / per patient-census	Per-bed / per-license enterprise
Typical mid-market spend	~$300–600/mo (50 caregivers)	~$1,000–3,000/mo	Varies widely by state Medicaid contract	~$500–1,500/mo (Personal Care)	Enterprise; published rates rare	~$400–700/bed/mo (SNF)
Implementation timeline	2–6 weeks	6–16 weeks	8–16 weeks	12–26 weeks	8–16 weeks	12–26 weeks
Best for	Non-medical agencies, 10–250 caregivers, mid-market growth	Tech-forward mid-market to enterprise, multi-service agencies	Medicaid-heavy agencies, multi-state Medicaid, EVV-driven	Enterprise multi-product post-acute organizations	Skilled-care agencies, mixed home health + hospice + home care	Multi-facility operators, SNF + home care combined
HeyHomeCare integration	Native API	Deep native API	Native API	Webhook + manual workflow	Native API	Native API

Ranges are for orientation, not quotes: state programs, module selections, and census move real numbers meaningfully. Treat anything outside these ranges — in either direction — as a prompt to ask the vendor what’s different about your deployment.

03 / Beyond the license

The costs the quote leaves out.

The subscription is the visible cost. Three others decide what the platform really costs in year one:

Implementation and migration. Timelines run from 2–6 weeks (AxisCare) to 12–26 weeks (WellSky, PointClickCare). A platform switch typically costs 60–90 days of operational disruption end to end — caregiver data migration, scheduling rebuild, billing reconfiguration, and a parallel run.
Compliance plumbing. Medicaid agencies need state EVV aggregator connections; see EVV requirements by state for what your state mandates before you sign anything.
The inbound gap. No platform answers the phone. Agencies bolt on a human answering service (~$1.50–3.00/minute, roughly $1,500–6,000/month at mid-market volume) or an AI layer priced per caregiver — the answering service guide runs those numbers.

04 / Matching model to agency

Pay for the scope you actually run.

Price differences between platforms mostly reflect scope, not quality. A private-pay non-medical agency paying AlayaCare rates is buying multi-service clinical breadth it may never use; a Medicaid-heavy agency saving money on a private-pay platform will spend the difference on EVV workarounds. Match the model first:

Non-medical / private-pay: per-active-caregiver pricing — compare on the non-medical guide.
Medicaid-heavy: per-billable-hour platforms with your state’s aggregator — see the Medicaid guide.
Multi-service or enterprise: modular or enterprise contracts — start from the overall guide.

The cheapest platform is the one whose pricing model matches how your revenue scales — not the one with the lowest sticker.

05 / Methodology

Where these numbers come from.

Ranges combine vendor-published pricing where it exists, quotes agencies share with us during HeyHomeCare onboarding, and the vendors’ own sales-motion norms. We integrate with these platforms rather than reselling them, and no vendor paid for placement. Where a vendor is quote-only we say so. Verify against the primary sources:

AxisCare — official site · Capterra 4.6/5 · G2 4.4/5
AlayaCare — official site · Capterra 4.4/5 · G2 4.5/5
HHAeXchange — official site · Capterra 4.0/5
WellSky — official site · Capterra 3.9/5
Axxess — official site · Capterra 4.4/5
PointClickCare — official site · Capterra 4.0/5

Published August 2026; pricing moves, so we re-check this page quarterly and date every revision.

FAQ

Frequently asked questions.

Q.01

How much does home care software cost?

For a typical 50-caregiver non-medical agency: AxisCare runs roughly $300–600/month, WellSky Personal Care $500–1,500/month, and AlayaCare $1,000–3,000/month. Medicaid platforms like HHAeXchange price per billable hour, so spend follows your Medicaid volume. Enterprise clinical suites (Axxess, PointClickCare) are quoted, not published.

Q.02

What pricing models do home care platforms use?

Four dominate: per active caregiver (AxisCare), per module + per user (AlayaCare), per billable hour + monthly fee (HHAeXchange), and per-license or per-bed enterprise contracts (WellSky, Axxess, PointClickCare). Per-active-caregiver is the most predictable for non-medical agencies; per-billable-hour tracks Medicaid revenue.

Q.03

What costs come on top of the license?

Implementation and data migration (most platforms take 2–26 weeks depending on tier), training time, state EVV aggregator connections where required, and any add-on modules (billing, analytics, family portals). Switching platforms typically costs 60–90 days of operational disruption — budget that, not just the subscription.

Q.04

Is cheaper home care software worth it?

Price follows scope more than quality. AxisCare is cheaper than AlayaCare because it deliberately covers less (non-medical only, no multi-service clinical). Pay for the scope your payer mix actually requires — a private-pay agency rarely needs the platform built for Medicaid EVV aggregation.

Q.05

What does HeyHomeCare cost on top of the platform?

HeyHomeCare prices per active caregiver — commonly $20–60/caregiver/month depending on tier — with no per-minute or per-message fees, so a brutal flu-season week costs the same as a quiet one. It replaces per-minute answering services that typically run $1,500–6,000/month at mid-market scale.

Q.06

Why do most vendors hide their pricing?

Enterprise platforms price by negotiated contract because deployments vary widely (modules, census, state programs). Where vendors do publish ranges or sales teams quote consistently, we list those ranges here — and mark everything else as quote-only rather than guessing.

Add the layer on top

Predictable pricing for the inbound layer, too.

HeyHomeCare prices per active caregiver — no per-minute fees, no volume penalty — and sits on top of whichever platform you budget for. Get a tailored quote on the intro call.

Talk to sales Best home care software