Nursing facility follow-up visit, moderate complexity

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PB HOSPITAL PRO FEE PR SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES

Payers reporting CPT 99309

Payer pricing summary

Low

Average

$5.2k

Median

$140

High

$100.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +27 other terms	163	$113	$321	$723	225%	24	$41 – $8.3k
2	Bcbs Mo professional · other · both	2	$68	$68	$19	28%	2–20	$49 – $87
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	136	$106	$121	$42	35%	1–10	$15 – $251
4	Medica fee schedule · outpatient · +16 other terms	32	$188	$259	$132	51%	1–10	$64 – $483
5	Aetna fee schedule · outpatient · +28 other terms	127	$103	$309	$1.0k	336%	—	$20 – $8.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	70	$158	$206	$153	74%	—	$0 – $675
7	Anthem fee schedule · outpatient · +20 other terms	68	$103	$254	$283	112%	—	$36 – $1.3k
8	Cigna fee schedule · outpatient · +22 other terms	68	$106	$117	$40	34%	—	$85 – $316
9	WellCare fee schedule · both · +21 other terms	49	$101	$107	$20	19%	—	$60 – $172
10	Molina professional · fee schedule · outpatient · +21 other terms	41	$103	$96	$17	17%	—	$45 – $143
11	Kaiser fee schedule · outpatient · +18 other terms	34	$104	$106	$40	38%	—	$40 – $211
12	Ambetter fee schedule · both · +14 other terms	28	$162	$158	$27	17%	—	$35 – $203
13	Optum professional · fee schedule · outpatient · +16 other terms	25	$98	$96	$20	21%	—	$43 – $157
14	Regence professional · fee schedule · outpatient · +10 other terms	23	$103	$117	$30	25%	—	$91 – $261
15	Devoted fee schedule · outpatient · +7 other terms	22	$106	$105	$1	1%	—	$104 – $106
16	Tricare fee schedule · both · +17 other terms	22	$97	$99	$25	25%	—	$35 – $186
17	MultiPlan professional · fee schedule · both · +15 other terms	21	$183	$192	$40	21%	—	$115 – $301
18	Wellmark fee schedule · both · +13 other terms	21	$139	$141	$22	15%	—	$98 – $157
19	Caresource facility · case rate · outpatient · +10 other terms	20	$69	$97	$55	57%	—	$42 – $221
20	Medicare fee schedule · outpatient · +13 other terms	18	$104	$102	$3	3%	—	$97 – $106
21	Cigna Healthspring fee schedule · both · +3 other terms	16	$100	$99	$2	2%	—	$97 – $105
22	Ucare professional · fee schedule · outpatient · +9 other terms	16	$90	$91	$21	23%	—	$65 – $197
23	First Health professional · fee schedule · both · +16 other terms	15	$101	$114	$48	42%	—	$57 – $263
24	Highmark fee schedule · outpatient · +12 other terms	15	$114	$113	$29	26%	—	$35 – $306
25	Medicaid fee schedule · outpatient · +9 other terms	15	$49	$51	$13	25%	—	$40 – $86

Page 1 of 3 · 59 payers