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Nursing Facility Evaluation for Acute Change in Condition

Nevada 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?

$182

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $166 to $263.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $170 · 10th to 90th $155 to $4,266Professionalmedian $182 · 10th to 90th $135 to $331
$1$10$100$1Kfacility $170professional $182

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
$169.82
Median
$169.82
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$169.82
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$1.05
Median
$138.04
Typical High
$263.03
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$1.05
Median
$1.05
Typical High
$234.42
Select Health
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$245.47
Typical High
$436.52

Where Nevada 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.

Nevada· 42nd of 51

$182

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.