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Follow-Up Doctor Visit In A Nursing Facility

Iowa rates for HCPCS 99309

A follow-up visit by a doctor or other clinician to a patient staying in a nursing facility. The clinician reviews how the person has been since the last visit, examines them, goes over test results and medicines, and updates the plan of care.

Rates data updated October 2026.

How much does Follow-Up Doctor Visit In A Nursing Facility cost?

$115

Typical physician fee. In Iowa, October 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $89.13 to $182.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $170 · 10th to 90th $95 to $490Professionalmedian $102 · 10th to 90th $72 to $209
$100$200$500facility $170professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$162.18
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$81.28
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$204.17
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$190.55
Medica
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$199.53
Typical High
$489.78
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$147.91
Typical High
$229.09
Midlands
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$109.65
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$158.49

Where Iowa sits

The same service costs 2.7 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 16th of 51

$115

AK $191NJ $70.79

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.