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Assisted Living Follow-Up Visit, Low Complexity

New York 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 July 2026.

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

$105

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $0.10 to $135.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $135Professionalmedian $135 · 10th to 90th $135 to $135
$0.1$1$10$100facility $0professional $135

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
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$169.82

Where New York sits

The same service costs 11.7 times more in North Carolina 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.

New York· 25th of 34

$105

NC $355SC $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.