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Missouri rates for HCPCS 99316

Nursing facility discharge management; more than 30 minutes total time on the date of the encounter

Facilitymedian $117 · 10th–90th $78–$1740%10%20%10th90th$117Professionalmedian $95 · 10th–90th $74–$1580%10%10th90th$95$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $95.50 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $181.97
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $194.98 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $177.83