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Assisted Living Visit, New Patient, Moderate

Pennsylvania 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.

Facilitymedian $66 · 10th–90th $66$660%50%100%$66Professionalmedian $91 · 10th–90th $91$1100%50%90th$91$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20