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Nursing Facility Evaluation for Acute Change in Condition

Kansas 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 $170 · 10th–90th $170$3160%50%90th$170Professionalmedian $170 · 10th–90th $158$2950%50%10th90th$170$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$331.13