Ashburn’s average monthly home care cost of $5,339 is $572 higher than the Virginia average of $4,767 and $382 higher than the national average of $4,957. Prices for home care tend to be at their highest in the state’s central and northern cities such as Charlottesville and Richmond. Prices are below average in the western city of Roanoke, where seniors pay an average of $4,195 per month for home care. Prices on the state’s Atlantic coast, home to Virginia Beach, Norfolk and Newport News, are in keeping with the state average.