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Assisted Living Visit, New Patient, Moderate

Nebraska rates for HCPCS 99326

A first visit by a doctor or other qualified provider to a patient living in an assisted living residence, rest home, or similar place providing housing and personal care. It covers a moderate level of complexity, with a detailed history and examination and decisions about a problem of moderate severity.

Rates data updated July 2026.

How much does Assisted Living Visit, New Patient, Moderate cost?

$302

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $240 to $316.

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 $316 · 10th to 90th $105 to $537Professionalmedian $240 · 10th to 90th $166 to $302
$100.0$200.0$500.0facility $316professional $240

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
$239.88
Median
$239.88
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where Nebraska sits

The same service costs 17.8 times more in Missouri than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $302 · 13th of 34
MO $537SC $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.