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Nursing Home Follow-Up Visit, Most Involved

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $123 to $151.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $195 · 10th to 90th $115 to $234Professionalmedian $129 · 10th to 90th $115 to $288
$100$200facility $195professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$288.40
Avera
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$354.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$229.09

Where South Dakota 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.

South Dakota· 32nd 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.