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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 July 2026.

How much does Annual Nursing Facility Assessment Visit cost?

$263

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $204 to $295.

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 $275 · 10th to 90th $54 to $407Professionalmedian $263 · 10th to 90th $151 to $309
$50.0$100.0$200.0$500.0facility $275professional $263

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
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$309.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$346.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$53.70
Typical High
$77.62

Where Wisconsin sits

The same service costs 11.5 times more in Tennessee than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $263 · 8th of 34
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.