go back

Observation Follow-Up Visit, High Complexity

Utah 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.

Professionalmedian $141 · 10th–90th $79$1660%20%10th90th$141$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Molina
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$141.25