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Assisted Living Visit, New Patient, Low Complexity

Nebraska 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 does Assisted Living Visit, New Patient, Low Complexity cost?

$174

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $138 to $182.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $182 · 10th to 90th $65 to $324Professionalmedian $138 · 10th to 90th $115 to $174
$100$200facility $182professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Nebraska sits

The same service costs 10.7 times more in North Carolina than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 14th of 34

$174

NC $324SC $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.