go back

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 October 2026.

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

$708

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $363 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$363 to $741
FacilityA hospital or hospital-owned outpatient department$363$363 to $447

How much rates vary

Facilitymedian $363 · 10th to 90th $316 to $525Professionalmedian $741 · 10th to 90th $191 to $741
$100$200$500facility $363professional $741

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$363.08
Typical High
$501.19
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Providence
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$446.68
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$144.54
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$489.78
Typical High
$707.95

Where Alaska sits

The same service costs 4.7 times more in Alaska than in Alabama. 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

$708

AK $708AL $151

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.