go back

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 October 2026.

How much rates vary

Facilitymedian $209 · 10th to 90th $209 to $234Professionalmedian $479 · 10th to 90th $479 to $479
$100$200$500facility $209professional $479

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

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$107.15
Typical High
$154.88