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Assisted Living Visit, New Patient, Low Complexity

Illinois rates for HCPCS 99325

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place that provides housing and personal care rather than skilled nursing. It covers a low level of complexity, with a fuller history and examination than the briefest first visit for a problem that is not severe.

Rates data updated July 2026.

How much rates vary

Facilitymedian $316 · 10th to 90th $182 to $955
$200$500$1Kfacility $316

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43