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Nursing Facility Evaluation for Acute Change in Condition

Minnesota 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 $603 · 10th–90th $309$1,5140%10%10th90th$603Professionalmedian $288 · 10th–90th $200$5130%10%20%10th90th$288$200.0$500.0$1.0K$2.0K

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
$154.88
Median
$169.82
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$257.04
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,412.54
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$676.08