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Annual Nursing Facility Assessment Visit

Ohio 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

Facilitymedian $95 · 10th to 90th $95 to $95Professionalmedian $87 · 10th to 90th $87 to $87
$100facility $95professional $87

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
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50