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Hospital Follow-Up Visit (Moderate Complexity)

Maine 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?

$83.18

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $69.18 to $100.

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.

How much rates vary

Facilitymedian $195 · 10th to 90th $66 to $245Professionalmedian $83 · 10th to 90th $60 to $145
$100$200facility $195professional $83

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
$66.07
Median
$194.98
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$223.87
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$158.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$194.98
Typical High
$257.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$165.96

Where Maine 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.

Maine· 14th of 51

$83.18

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.