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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 July 2026.

Facilitymedian $398 · 10th–90th $117$5890%10%20%10th90th$398Professionalmedian $380 · 10th–90th $219$4470%20%10th90th$380$100.0$200.0$500.0

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$123.03