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Observation Follow-Up Visit, High Complexity

Nevada 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.

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $102Professionalmedian $68 · 10th to 90th $31 to $135
$50$100facility $74professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$67.61
Typical High
$134.90