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Nursing Facility Evaluation for Acute Change in Condition

Nebraska 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?

$347

Typical physician fee. In Nebraska, October 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $245 to $398.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $162 to $933Professionalmedian $347 · 10th to 90th $200 to $550
$200$500$1Kfacility $316professional $347

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$251.19
Typical High
$323.59
Medica
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$346.74
Typical High
$933.25
Medica
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$380.19
Typical High
$549.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$218.78
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$363.08
Typical High
$575.44

Where Nebraska 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.

Nebraska· 3rd of 51

$347

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.