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Oklahoma rates for HCPCS 99316

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

Facilitymedian $89 · 10th–90th $81–$1260%20%40%10th90th$89Professionalmedian $110 · 10th–90th $87–$1450%20%10th90th$110$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
$81.28 / $89.13 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $102.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $131.83 / $173.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $204.17 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $138.04