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Nationwide rates for HCPCS G0163

Skilled Services Of A Licensed Nurse (Lpn Or Rn) F

Rates data updated October 2026.

How much does HCPCS G0163 cost?

$64.57

Typical facility fee. Nationwide, October 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $30.20 to $85.11.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79 · 10th to 90th $65 to $85Professionalmedian $30 · 10th to 90th $30 to $100
$50$100$200facility $79professional $30

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
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

What it costs in each state

The same service costs 3.3 times more in Illinois 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.

Touch or drag across the chart to see any state's rate.

IL $100SC $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.