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Observation Follow-Up Visit, High Complexity

North Dakota 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?

$229

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $174 to $288.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $229 · 10th to 90th $145 to $479
$200$500professional $229

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$208.93
Typical High
$288.40
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49

Where North Dakota 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.

North Dakota· 14th of 37

$229

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.