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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 October 2026.

How much does Observation Follow-Up Visit, High Complexity cost?

$269

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $339 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$204 to $324
FacilityA hospital or hospital-owned outpatient department$339$269 to $490

How much rates vary

Facilitymedian $339 · 10th to 90th $214 to $794Professionalmedian $269 · 10th to 90th $162 to $398
$200$500$1Kfacility $339professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$338.84
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$269.15
Typical High
$398.11
Health Partners
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$316.23
Typical High
$758.58
Health Partners
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$239.88
Typical High
$331.13
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03

Where Minnesota sits

The same service costs 15.8 times more in Massachusetts than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 13th of 37

$269

MA $479ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.