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Nursing Facility Evaluation for Acute Change in Condition

North Dakota 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 $200 · 10th–90th $170$2000%50%10th$200Professionalmedian $355 · 10th–90th $200$4680%10%20%10th90th$355$200.0$500.0

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
$169.82
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$501.19