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Annual Nursing Facility Assessment Visit

New Jersey 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 rates vary

Professionalmedian $138 · 10th to 90th $107 to $174
$100.0$200.0$500.0professional $138

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$173.78