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Annual Nursing Facility Assessment Visit

Nationwide rates for HCPCS 99318

A yearly review visit by a physician or other qualified clinician for a resident of a nursing facility, covering the resident's overall condition, medicines and plan of care. It is a scheduled comprehensive review rather than a visit for a new problem.

Rates data updated July 2026.

Facilitymedian $316 · 10th–90th $135$7080%10%20%10th90th$316Professionalmedian $209 · 10th–90th $112$3630%10%10th90th$209$50.0$100.0$200.0$500.0$1.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$70.79
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$131.83