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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.

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

$380

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $295 to $427.

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 $398 · 10th to 90th $117 to $589Professionalmedian $380 · 10th to 90th $219 to $447
$100$200$500facility $398professional $380

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
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

Where Wisconsin sits

The same service costs 17.8 times more in Missouri 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.

Wisconsin· 8th of 34

$380

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.