go back

North Carolina rates for HCPCS 99307

Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $56 · 10th–90th $42–$1230%20%10th90th$56Professionalmedian $41 · 10th–90th $30–$650%10%10th90th$41$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $64.57
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$7.76 / $36.31 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $47.86 / $87.10
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15