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Nursing Facility Evaluation for Acute Change in Condition

Louisiana 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 $195 · 10th–90th $0$2140%20%40%10th90th$195Professionalmedian $200 · 10th–90th $195$2340%50%10th90th$200$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$194.98
Median
$199.53
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$338.84