go back

Hospital Follow-Up Visit (Moderate Complexity)

Illinois rates for HCPCS 99232

A daily check-in visit from a doctor for a patient who is already admitted to the hospital, used when the patient's condition requires a moderate amount of evaluation, such as responding to a new problem or an illness that isn't improving as expected. It reflects more involved decision-making than the most basic level of daily hospital visit. It typically includes a fuller exam and closer review of test results and treatment adjustments.

Rates data updated July 2026.

How much does Hospital Follow-Up Visit (Moderate Complexity) cost?

$81.28

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$70.79 to $107
FacilityA hospital or hospital-owned outpatient department$79.43$57.54 to $123

How much rates vary

Facilitymedian $79 · 10th to 90th $50 to $209Professionalmedian $81 · 10th to 90th $59 to $170
$20$50$100$200$500$1Kfacility $79professional $81

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$302.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$131.83
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$165.96

Where Illinois sits

The same service costs 1.7 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 21st of 51

$81.28

AK $105DC $63.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.