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Hospital Follow-Up Visit (Moderate Complexity)

South Dakota 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?

$75.86

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $67.61 to $132.

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.

How much rates vary

Facilitymedian $117 · 10th to 90th $62 to $158Professionalmedian $76 · 10th to 90th $62 to $178
$20$50$100$200facility $117professional $76

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$154.88
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$177.83
Avera
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$138.04
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$181.97
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$131.83

Where South Dakota 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.

South Dakota· 39th of 51

$75.86

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.