go back

Annual Nursing Facility Assessment Visit

Illinois 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 $295 · 10th to 90th $195 to $955
$200$500$1Kfacility $295

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$295.12
Typical High
$954.99