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Hospital Follow-Up Visit (Moderate Complexity)

Kentucky 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?

$77.62

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $69.18 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$79.43$64.57 to $123
FacilityA hospital or hospital-owned outpatient department$69.18$57.54 to $69.18

How much rates vary

Facilitymedian $69 · 10th to 90th $51 to $100Professionalmedian $79 · 10th to 90th $54 to $158
$20$50$100$200facility $69professional $79

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
$51.29
Median
$61.66
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$100.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$128.82

Where Kentucky 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.

Kentucky· 35th of 51

$77.62

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.