Quick Answer
If you're looking at professional, agency-provided in-home care in the North Atlanta suburbs in 2026, expect to pay $30–$40 per hour. Georgia's statewide median is $32 per hour for a non-medical caregiver, per CareScout's published state data, while the national median is $35 per hour, according to the CareScout 2025 Cost of Care Survey. For a common part-time schedule of 20 hours per week, that works out to roughly $2,773 per month at the Georgia median. Your actual cost depends on how many hours you schedule and the level of care needed, so see exactly how our rates work on our home care pricing page.

Home Care Costs in North Atlanta
The cost of home care can vary based on the type and level of care needed, the qualifications of the caregiver, and the specific services provided. Across the North Atlanta suburbs, including Alpharetta, Roswell, Johns Creek, Milton, and Sandy Springs, most families land somewhere in the $30–$40 per hour range for agency-provided care in 2026.
What Does Home Care Cost at Different Schedules?
Hourly rates only tell part of the story. What most families really want to know is the monthly number. Using the $32-per-hour Georgia median for the math (illustrative, not a quote):
- 12 hours per week (for example, 4 hours a day, 3 days a week): about $1,665/month
- 20 hours per week (for example, 4 hours a day, 5 days a week): about $2,773/month
- 30 hours per week (for example, 6 hours a day, Monday through Friday): about $4,160/month
- 40 hours per week (weekday daytime coverage while family works): about $5,547/month
- 24/7 around-the-clock care: about $20,000+/month. Round-the-clock supervision requires rotating caregiver shifts, so 24/7 care typically runs $20,000 or more per month. Get a detailed written quote after an assessment — shift structure (awake vs. sleep overnights, number of caregivers, days per week) changes the math significantly.

City-by-City Cost Guides
Costs shift a bit from city to city, so we've broken them down for specific communities across our service area, with local stats and real examples:
- How much does home care cost in Roswell, GA? (2026 Guide)
- How much does home care cost in Alpharetta, GA? (2026 Guide)
- How much does home care cost in Cumming, GA? (2026 Guide)
Factors Influencing Home Care Costs
1. Type of Care Needed
Home care services are typically divided into two main categories: personal care services and companion/sitter services.
- Personal Care Services: These include assistance with activities of daily living (ADLs) such as bathing, toileting, dressing, and feeding. Because these tasks require more specialized training and experience, they tend to be more expensive.
- Companion/Sitter Services: These services focus on providing companionship, assisting with light housekeeping, and offering transportation for errands or appointments. They are generally less costly than personal care services.
2. Frequency and Duration of Care
The total cost of home care depends on how often and for how long care is needed. A few hours a day a few days a week costs far less per month than full-time daytime coverage, and around-the-clock care is priced individually since it requires coordinated caregiver shifts. Most agencies, including Castleton, also have a 4-hour minimum per visit, so very short drop-ins aren't typically an option.
3. Caregiver Qualifications and Experience
Caregivers with specialized training or extensive experience in elderly care may charge higher rates. This is particularly true for caregivers who provide services for seniors with specific needs such as dementia or mobility issues.
4. Geographic Location
The cost of home care can also vary by location. In the North Atlanta suburbs, areas with a higher cost of living, such as Alpharetta and Sandy Springs, might have higher rates for home care services compared to other suburbs. See our city guides above for the local numbers.
5. Additional Services
Additional services such as transportation, meal preparation, or specialized equipment may affect the rate. It's essential to discuss these needs upfront with your home care provider so the quote you approve reflects the full picture.
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How Families Pay for Home Care
Home care is most often private pay, but several options can help families manage the cost:
- Long-term care insurance: Many policies cover non-medical in-home care. If your parent has a policy, the agency can typically supply the documentation and visit notes insurers require for claims.
- VA Aid & Attendance: Eligible veterans and surviving spouses can receive monthly, tax-free pension support toward in-home care. Current maximums (effective December 1, 2025) are $2,874 for a married veteran, $2,424 for a single veteran, and $1,558 for a surviving spouse, per the VA's pension rate tables.
- Georgia's Elderly and Disabled Waiver Program: For Medicaid-eligible seniors who meet a nursing-home level of care, this waiver can cover in-home services, including personal care, respite, and home-delivered meals, as an alternative to a nursing home. Applications go through the Area Agency on Aging (statewide: 866-552-4464).
Note that traditional Medicare generally does not pay for ongoing non-medical home care. We've written a full breakdown of what Medicare does and doesn't cover for in-home caregivers if you want the details.
Frequently Asked Questions
Is home care cheaper than assisted living in North Atlanta?
For part-time schedules, usually yes. Twelve to 20 hours a week of home care costs far less per month than a residential facility. At full-time levels the math gets closer, and 24/7 around-the-clock care typically runs about $20,000 or more per month — which is why an exact quote matters. Start with our home care pricing page to see how rates are set.
What is the minimum number of hours for home care?
It varies by agency. Castleton has a 4-hour minimum per visit and a 12-hour weekly minimum, which keeps care consistent by matching your family with the same caregiver rather than rotating strangers through the home.
Does Castleton offer an exact quote before care starts?
Yes. Every plan starts with a free in-home consultation, and you approve a written quote before care begins, so there are no surprises. See our pricing page for what's included in every plan.
Sources
- CareScout 2025 Cost of Care Survey (national median $35/hour)
- CareScout published Georgia state data (Georgia median $32/hour)
- A Place for Mom: North Atlanta home care costs
- VA pension / Aid & Attendance rate tables (effective December 1, 2025)
- Georgia.gov: Elderly and Disabled Waiver Program

If you have any questions or need further assistance in planning for home care, contact Castleton Home Care today. We're here to help you navigate the costs and ensure your parent receives the highest quality care in Alpharetta, Roswell, Johns Creek, Milton, Sandy Springs, Cumming, Duluth, Suwanee, and beyond.
Disclaimer: The information in this article is provided for general educational and informational purposes only and is not intended as, and should not be taken as, medical, nursing, legal, financial, tax, or insurance advice. You should consult with qualified professionals—including, but not limited to, a doctor, attorney, financial planner, or tax advisor—for guidance specific to your situation. Castleton Home Care does not guarantee the accuracy, completeness, or timeliness of the information contained in this article and assumes no liability for any actions taken based on its contents.
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