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Observation Follow-Up Visit, High Complexity

Minnesota 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 $347 · 10th–90th $269$7590%10%20%10th90th$347Professionalmedian $269 · 10th–90th $178$3890%10%20%10th90th$269$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$407.38
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$758.58
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$123.03