go back

Nursing Home Follow-Up Visit, Most Involved

Colorado rates for HCPCS 99310

A follow-up visit to a resident of a nursing facility by their doctor or advanced practice clinician. This is the most involved level of such visits, used when the resident has developed a significant new problem or has become markedly worse and needs a thorough reassessment. It covers examining the resident, reviewing results and medicines, and revising the plan of care.

Rates data updated July 2026.

How much does Nursing Home Follow-Up Visit, Most Involved cost?

$129

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$112 to $158
FacilityA hospital or hospital-owned outpatient department$117$102 to $138

How much rates vary

Facilitymedian $117 · 10th to 90th $102 to $195Professionalmedian $129 · 10th to 90th $102 to $282
$100$200$500facility $117professional $129

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
$102.33
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$288.40
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$199.53
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$346.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$323.59

Where Colorado sits

The same service costs 2.4 times more in Alaska than in Indiana. 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.

Colorado· 28th of 51

$129

AK $269IN $112

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.