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Observation Follow-Up Visit, High Complexity

Colorado rates for HCPCS 99226

A follow-up visit by the doctor to a patient under observation in hospital whose condition is unstable or has worsened. It covers a detailed reassessment, a full review of new findings, and complex decisions about changing treatment or moving to a full admission.

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $741$7410%50%100%$741Professionalmedian $85 · 10th–90th $79$870%50%100%10th90th$85$100.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$87.10