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Observation Follow-Up Visit, High Complexity

Oklahoma 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 $209 · 10th to 90th $79 to $589Professionalmedian $126 · 10th to 90th $85 to $479
$100$200$500facility $209professional $126

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$199.53
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10