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Nursing Home Follow-Up Visit, Most Involved

Virginia 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?

$135

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $132 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$135$115 to $151
FacilityA hospital or hospital-owned outpatient department$132$110 to $155

How much rates vary

Facilitymedian $132 · 10th to 90th $100 to $468Professionalmedian $135 · 10th to 90th $100 to $191
$100$200$500$1K$2K$5K$10Kfacility $132professional $135

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
$100.00
Median
$123.03
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$194.98
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$245.47

Where Virginia 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.

Virginia· 25th of 51

$135

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.