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Annual Nursing Facility Assessment Visit

Massachusetts 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 $85 · 10th to 90th $85 to $100
$100facility $85

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
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$100.00