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Nursing Facility Evaluation for Acute Change in Condition

Alaska rates for HCPCS G9685

Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. This service is for a demonstration project

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $363$5250%20%40%90th$363Professionalmedian $468 · 10th–90th $302$7410%20%10th90th$468$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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$501.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$144.54
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$707.95