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Observation Follow-Up Visit, High Complexity

Missouri 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 $209 · 10th–90th $100$2340%50%10th90th$209Professionalmedian $155 · 10th–90th $87$4790%20%40%10th90th$155$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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$154.88