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Hospital Follow-Up Visit (Low Complexity)

Idaho rates for HCPCS 99231

A daily check-in visit from a doctor for a patient who is already admitted to the hospital, used when the patient is stable or improving and doesn't require much ongoing evaluation or adjustment to their care. It's the most basic level of the daily rounding visits that happen during a hospital stay. It typically involves a brief exam and review of how the patient is doing.

Facilitymedian $63 · 10th–90th $43$1380%10%10th90th$63Professionalmedian $62 · 10th–90th $35$1350%5%10%10th90th$62$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$128.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$95.50
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$138.04
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$93.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$125.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$95.50
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$81.28
Select Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$89.13