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Hospital Follow-Up Visit (Moderate Complexity)

North Carolina 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 North Carolina, 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 $105 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 8 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$69.18 to $115
FacilityA hospital or hospital-owned outpatient department$105$75.86 to $129

How much rates vary

Facilitymedian $105 · 10th to 90th $69 to $178Professionalmedian $81 · 10th to 90th $56 to $178
$10.0$20.0$50.0$100.0$200.0$500.0facility $105professional $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
$69.18
Median
$104.71
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$154.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09

Where North Carolina sits

The same service costs 1.7 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $81.28 · 18th of 51
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.