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First Doctor Visit After Nursing Facility Admission

Maryland rates for HCPCS 99306

The clinician's first visit to a patient who has just been admitted to a nursing facility. It covers a full review of the person's medical history and current problems, an examination, and setting out the plan of care for the stay, including medicines and goals.

Rates data updated July 2026.

How much does First Doctor Visit After Nursing Facility Admission cost?

$166

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $138 to $186.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $174 · 10th to 90th $155 to $209Professionalmedian $166 · 10th to 90th $123 to $224
$100.0$200.0$500.0facility $174professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$223.87
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$354.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$309.03

Where Maryland sits

The same service costs 2.4 times more in Wyoming than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $166 · 28th of 51
WY $324AL $135

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.