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First Doctor Visit After Nursing Facility Admission

South Dakota 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?

$178

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $151 to $245.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $126 to $288Professionalmedian $178 · 10th to 90th $126 to $347
$100.0$200.0$500.0facility $229professional $178

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$199.53
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Avera
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$275.42

Where South Dakota 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.

South Dakota $178 · 15th 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.