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Nursing Home Follow-Up Visit, Most Involved

North Carolina 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 North Carolina, 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 $129 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$115 to $148
FacilityA hospital or hospital-owned outpatient department$129$129 to $309

How much rates vary

Facilitymedian $129 · 10th to 90th $120 to $380Professionalmedian $129 · 10th to 90th $49 to $275
$50$100$200$500facility $129professional $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
$120.23
Median
$128.82
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$128.82
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$295.12
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76

Where North Carolina 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.

North Carolina· 30th 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.