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Assisted Living Visit, New Patient, Moderate

Wisconsin 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 October 2026.

How much rates vary

Facilitymedian $398 · 10th to 90th $347 to $589Professionalmedian $380 · 10th to 90th $295 to $447
$200$500facility $398professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$346.74
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$380.19
Typical High
$446.68