Home Instead vs. Visiting Angels vs. BrightStar Care: How Franchise In-Home Care Pricing Actually Compares
legal-financialA side-by-side comparison of Home Instead, Visiting Angels, and BrightStar Care for adult children evaluating in-home care. This guide breaks down hourly rates, service scope, franchise variability, and the key questions to ask any local franchise.

Why the Franchise Brand Matters Less Than the Local Office
When you call Home Instead, Visiting Angels, or BrightStar Care, you are not calling a national headquarters that sets uniform prices and sends standardized caregivers to every home. You are calling a locally owned and operated franchise office. That distinction is the single most important thing to understand about how in-home care pricing actually works.
Each franchise owner sets their own hourly rates, minimum-hour requirements, caregiver wages, and service policies within the brand's general guidelines. The same national brand can charge $28 an hour in one city and $44 an hour in another — not because the care is different, but because the local cost of living, state regulations, and the franchise owner's business model vary. The national brand name on the van and the website is a marketing umbrella, not a guarantee of pricing or quality.
This means that choosing between these three brands is not like choosing between an iPhone and a Samsung. You cannot simply look up the national price list and make a decision. You must evaluate the specific local franchise office that would serve your parent's home. The brand gives you a starting point — a general sense of service scope and rate range — but the local office determines everything that matters.
Three National Franchises at a Glance
Before comparing rates, it helps to understand the basic footprint and history of each brand. All three are franchise models, but they differ in national coverage, founding year, and — most importantly — the types of care they are licensed to provide.
| Brand | Founded | U.S. Locations | Care Type | Key Differentiator |
|---|---|---|---|---|
| Home Instead | 1994 | ~1,200 | Non-medical (companion + personal care) | Largest U.S. footprint; acquired by Honor Technology in 2021 |
| Visiting Angels | 1998 | 600+ | Non-medical (companion + personal care) | Widest geographic rate spread; some locations offer Select Your Caregiver program |
| BrightStar Care | 2002 | 400+ across 41 states | Non-medical + skilled nursing (RNs and LPNs) | Only brand of the three that provides medical care at home |
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