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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.

How much does Nursing Facility Evaluation for Acute Change in Condition cost?

$468

Typical physician fee. In Alaska, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $363 to $741.

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 $363 · 10th to 90th $363 to $525Professionalmedian $468 · 10th to 90th $302 to $741
$100$200$500facility $363professional $468

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
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

Where Alaska sits

The same service costs 3.5 times more in Alaska than in Indiana. 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.

Alaska· 1st of 51

$468

AK $468IN $135

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.