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Nursing Home Follow-Up Visit, Most Involved

Idaho 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?

$148

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $166 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$148$126 to $166
FacilityA hospital or hospital-owned outpatient department$166$166 to $200

How much rates vary

Facilitymedian $166 · 10th to 90th $155 to $234Professionalmedian $148 · 10th to 90th $115 to $229
$100$200facility $166professional $148

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
$165.96
Median
$165.96
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$269.15
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$239.88

Where Idaho 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.

Idaho· 12th of 51

$148

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.