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Nursing Facility Discharge Day, Longer Visit

New Jersey rates for HCPCS 99316

The doctor's work on the day a patient leaves a nursing facility: a final examination, discussion with the patient and family, arranging follow-up care and medicines, and completing the discharge records. This is the longer version, used when that work takes more than half an hour.

Rates data updated October 2026.

How much does Nursing Facility Discharge Day, Longer Visit cost?

$87.10

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $66.07 to $117.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $59 · 10th to 90th $50 to $78Professionalmedian $87 · 10th to 90th $56 to $151
$100$200facility $59professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$50.12
Median
$58.88
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$77.62
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$36.31
Typical High
$43.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.72
Typical High
$12.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$7.24
Typical High
$8.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$107.15
Typical High
$194.98
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$109.65
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$97.72
Typical High
$190.55

Where New Jersey sits

The same service costs 2.9 times more in Alaska than in Ohio. 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.

New Jersey· 48th of 51

$87.10

AK $224OH $77.62

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.