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Annual Nursing Facility Assessment Visit

Nebraska 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.

How much does Annual Nursing Facility Assessment Visit cost?

$209

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $166 to $214.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $214 · 10th to 90th $30 to $347Professionalmedian $166 · 10th to 90th $89 to $209
$50$100$200facility $214professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$165.96
Median
$165.96
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Nebraska sits

The same service costs 11.5 times more in Tennessee than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 13th of 34

$209

TN $347SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.