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Annual Nursing Facility Assessment Visit

Wisconsin 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 $275 · 10th to 90th $240 to $407Professionalmedian $263 · 10th to 90th $204 to $309
$200$500facility $275professional $263

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$275.42
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$263.03
Typical High
$309.03