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Observation Follow-Up Visit, High Complexity

Florida 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.

How much rates vary

Facilitymedian $83 · 10th to 90th $81 to $102Professionalmedian $87 · 10th to 90th $78 to $110
$100$200facility $83professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AvMed
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$87.10
AvMed
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$169.82