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Assisted Living Follow-Up Visit, Low Complexity

California rates for HCPCS 99335

A follow-up visit by a doctor or other qualified provider to a patient they already care for who lives in an assisted living residence, rest home, or similar place providing housing and personal care. It covers a low level of complexity, with a fuller history and examination than the briefest check but a problem that is not severe.

Rates data updated October 2026.

How much does Assisted Living Follow-Up Visit, Low Complexity cost?

$251

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $251 to $251.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100Professionalmedian $251 · 10th to 90th $251 to $251
$100$200$500facility $100professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$1,737.80
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$194.98
Typical High
$354.81

Where California sits

The same service costs 14.8 times more in Texas than in South Carolina. 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.

California· 7th of 33

$251

TX $447SC $30.20

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.