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Nursing Home Follow-Up Visit, Most Involved

Kentucky 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?

$120

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $120 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 6 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$123$102 to $155
FacilityA hospital or hospital-owned outpatient department$120$102 to $132

How much rates vary

Facilitymedian $120 · 10th to 90th $98 to $170Professionalmedian $123 · 10th to 90th $93 to $200
$100$200facility $120professional $123

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
$97.72
Median
$112.20
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$112.20
Median
$112.20
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$229.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$181.97

Where Kentucky 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.

Kentucky· 47th of 51

$120

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.