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Observation Follow-Up Visit, High Complexity

Ohio 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 $100 · 10th to 90th $100 to $3,020Professionalmedian $110 · 10th to 90th $85 to $204
$100$200$500$1K$2Kfacility $100professional $110

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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$154.88