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Annual Nursing Facility Assessment Visit

Iowa 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 October 2026.

How much rates vary

Facilitymedian $347 · 10th to 90th $214 to $347Professionalmedian $158 · 10th to 90th $100 to $209
$100$200facility $347professional $158

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$208.93
Medica
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$346.74
Typical High
$346.74
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$147.91
Typical High
$158.49