go back

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.

Facilitymedian $83 · 10th–90th $81$870%50%100%10th90th$83Professionalmedian $87 · 10th–90th $74$1320%20%10th90th$87$50.0$100.0$200.0

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
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
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$165.96